The assessment of intraoperative technique-related risk factors and management of anastomotic leakage after esophagectomy: a systematic review
Anastomotic leakage is a serious complication after esophagectomy. The occurrence of anastomotic leakage results from preoperative, intraoperative, and postoperative-related risk factors. However, intraoperative technique-related risk factors, such as surgical approach, anastomosis location, anastomosis approach, type of gastric conduit, reconstruction route, and so on, are the key factors for its occurrence. The management of anastomotic leakage includes surgical and non-surgical treatment, while the correct and appropriate treatment plays an important role in alleviating the suffering of patients, shortening hospitalization time and reducing mortality. The purpose of this review was to assess the safety and efficacy of surgical technique-related factors in esophagectomy as well as the proper approach to manage anastomotic leakage after esophagectomies.