Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000029.xml
Download PDF
J Reconstr Microsurg 2002; 18(4): 261-262
DOI: 10.1055/s-2002-30180
DOI: 10.1055/s-2002-30180
Salvage of Total Esophageal Reconstruction with Microvascular Free Left Colon Flap
Further Information
Publication History
Publication Date:
17 May 2002 (online)
ABSTRACT
Esophageal reconstruction has been achieved with a variety of innovative surgical techniques, including colonic interposition, gastric pull-up, pedicled, and free jejunal grafts. The authors describe an unusual case of complete thoracic esophageal reconstruction, necessitating an entirely free microvascular colon interposition as a salvage procedure to reconstitute the alimentary tract from the neck to the abdomen. To their knowledge, this specific method of reconstruction of the esophagus has not been previously reported.
KEYWORDS
Thoracic esophageal reconstruction - free microvascular colon interposition
REFERENCES
- 1 Mansour K A, Bryan F C, Carlson G W. Bowel interposition for esophageal replacement: twenty-five year experience. Ann Thorac Surg . 1997; 64 752-756
- 2 DeMeester T R, Johansson K E, Franze I. Indications, surgical technique, and long-term functional results of colon interposition or bypass. Ann Surg . 1988; 208 460-474
- 3 Seidenberg B, Rosenak S S, Hurwitt E S, Som M L. Immediate reconstruction of the cervical esophagus by a revascularized isolated jejunal segment. Ann Surg . 1959; 149 162-166
- 4 Carlson G W, Anderson T M, Galloway J R, Mansour K A. Salvage of colon interposition by antethoracic free jejunal transfer. Ann Thorac Surg . 1994; 58 1523-1525
- 5 Huang J L, Duan Z Q, Li-Yang, et al. Esophageal reconstruction by jejunal transfer. Ann Plast Surg . 1999; 42 658-661
- 6 Golshani S D, Lee C, Cass D. Microvascular ``supercharged'' cervical colon: minimizing ischemia in esophageal reconstruction. Ann Plast Surg . 1999; 43 533-538
- 7 Fujita H, Yamana H, Sueyoshi S. Impact on outcome of additional microvascular anastomosis-supercharge-on colon interposition for esophageal replacement: comparative and multivariate analysis. World J Surg . 1997; 21 998-1003
- 8 Inoue Y, Tai Y, Fujita H. A retrospective study of 66 esophageal reconstructions using microvascular anastomoses: problems and our methods for atypical cases. Plast Reconstr Surg . 1994; 94 277-287
- 9 Chen H C, Kuo Y R, Hwang T L. Microvascular prefabricated free skin flaps for esophageal reconstruction in difficult patients. Ann Thorac Surg . 1999; 67 911-916