J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 3766KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 102(9): 653-658, 2001

Feature topic

RECONSTRUCTION OF THE CERVICAL ESOPHAGUS USING CUTANEOUS OR MUSCULOCUTANEOUS FLAPS

1) Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan
2) Department of Otorhinolaryngology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan

Toshiyuki Kabuto1), Yuichiro Doki1), Osamu Ishikawa1), Shingi Imaoka1), Tomoyuki  Kurita2), Kunitoshi Yoshino2)

Reconstruction of the cervical esophagus using cutaneous or musculocutaneous flaps is described. The delto-pectoral cutaneous flap, latissimus dorsi or pectoris major musculocutaneous flap, free forearm cutaneous flap, and free rectus abdominis musculocutaneous flap are generally used for reconstruction of the cervical esophagus. Although free jejunal transfer with microsurgery is now common for reconstruction of the cervical esophagus, cutaneous or musculocutaneous flaps remain useful in high-risk patients or patients in whom free jejunal transfer or gastrointestinal reconstruction would prove incompeteny due to a history of abdominal surgery or other reasons. Cutaneous or muscuiocutaneous flaps are also used in patients with failure of free jejunal transfer or incurable fistula after reconstruction using the stomach or colon for thoracic esophageal cancer.

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