Abstract Background Anastomotic Slotted Spoon fistula is a rare but life-threatening complication of esophageal cancer, and its treatment remains challenging.We aimed to evaluate the clinical efficacy of modified cervical drainage in the management of cervical anastomotic fistula in patients after esophageal cancer surgery.Methods From June 2017 to December 2021, 25 esophageal cancer patients who developed cervical anastomotic fistula were enrolled in the study.Among them, 14 patients were treated with modified cervical drainage, which served as the observation group, while the remaining 11 patients underwent open incision and drainage, which served as the control ALL PURPOSE CL group.
The treatment outcomes of the two groups were compared and analyzed.Results The observation group had a significantly shorter healing time, fewer dressing changes, shorter hospital stay, and lower hospitalization costs compared to the control group (P 0.05).All patients resumed a normal diet without experiencing fever, coughing or other discomfort, and were discharged after a smooth recovery.
Conclusions Modified neck drainage, as a treatment method for cervical anastomotic leakage in esophageal cancer patients, has preliminarily demonstrated potential in promoting patient recovery.However, its efficacy still requires further validation and confirmation through studies with larger sample sizes.Graphical abstract.