J.Jpn. Surg. Soc.. 87(9): 1047-1050, 1986

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Report on the annual meeting

SURGICAL TREATMENT OF CARCINOMA OF THE CERVICAL ESOPHAGUS : COLONIC INTERPOSITION FOR ESOPHAGEAL SUBSTITUTION

Forty of 283 patients (14.1%) with squamous cell carcimona of the esophagus had primary tumors in the cervical esophagus including the cervicothoracic region. The 5-year-survival rate of the patients who had undergone curative resection for cancer was 32.6%.
Esophageal replacements were carried out in 27 cases by the isoperistaltic left colon in 21, the antiperistaltic left colon in one, the isoperistaltic right colon in 2, the stomach tube in one, the intestinal free graft in one and the skin flap in one case.
The operative mortality rate was 13.8%. Left isoperistaltic colon has most frequently been used for substitution, as adequate length can be obtained and the blood supply is relatively good.
Leakage of the anastomosis in the neck, including minor leakage, was the most frequent nonfatal complication and had been estimated to occur in as many as 40 per cent of the patients.
Although transit is performed mainly by gravity, long term function has been excellent, which makes the isoperistaltic left colonic interposition most suitable for the patients who have a long life expectancy. 、

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