Anastomotic Tissue Oxygen Tension during Esophagectomy in Patients with Esophageal Carcinoma

Abstract
Submucosal tissue oxygen tension (PtO2) was measured in 20 patients with cervical esophagogastrostomy after resection of esophageal carcinoma, using a Clark-type oxygen electrode. The mean gastric baseline PtO2 was 54.6 ± 10.7 mm Hg. Following ligature of the vasa brevia and the left gastroepiploic artery PtO2 decreased to 45.8 ± 9.9 mm Hg, ligature of the left gastric artery caused a decrease to 34.2 ± 9.7 mm Hg and resection of the lesser curvature and pulling up of gastric tube led to 25.5 ± 9.0 mm Hg. Clinical value and practicability of intraoperative PtO2 measurements could be proven.

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