Abstract
Esophageal reconstruction after salvage esophagectomy in patients who have undergone curative-intent chemoradiotherapy for esophageal cancer is associated with a significant risk of perioperative morbidity and mortality. In particular, anastomotic leakage can cause severe and potentially fatal complications, including mediastinitis and pneumonia. The authors performed esophageal reconstruction with a pedicled right colon graft after salvage esophagectomy in eight patients. To decrease the rate of anastomotic leakage, the authors performed an additional microvascular anastomosis at the distal end of the graft. The distal stumps of the ileocolic artery and vein were anastomosed to the cervical vessels. After surgery, aspiration pneumonia and localized wound infection were observed in two patients each, but slight anastomotic leakage was observed in only one patient. Postoperative swallowing function was satisfactory in all patients. Although the incidence of anastomotic leakage is reportedly high, the authors observed anastomotic leakage in only one of eight patients. The authors believe that additional microvascular anastomosis helps prevent anastomotic leakage, especially in patients who have undergone salvage esophagectomy after curative chemoradiotherapy.
| Original language | English |
|---|---|
| Pages (from-to) | 1934-1939 |
| Number of pages | 6 |
| Journal | Plastic and Reconstructive Surgery |
| Volume | 113 |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - Jun 2004 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Surgery
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Importance of additional microvascular anastomosis in esophageal reconstruction after salvage esophagectomy. / Sakuraba, Minoru; Kimata, Yoshihiro; Hishinuma, Shigeyuki; Nishimura, Mitsuyo; Gotohda, Naoto; Ebihara, Satoshi.
In: Plastic and Reconstructive Surgery, Vol. 113, No. 7, 06.2004, p. 1934-1939.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Importance of additional microvascular anastomosis in esophageal reconstruction after salvage esophagectomy
AU - Sakuraba, Minoru
AU - Kimata, Yoshihiro
AU - Hishinuma, Shigeyuki
AU - Nishimura, Mitsuyo
AU - Gotohda, Naoto
AU - Ebihara, Satoshi
PY - 2004/6
Y1 - 2004/6
N2 - Esophageal reconstruction after salvage esophagectomy in patients who have undergone curative-intent chemoradiotherapy for esophageal cancer is associated with a significant risk of perioperative morbidity and mortality. In particular, anastomotic leakage can cause severe and potentially fatal complications, including mediastinitis and pneumonia. The authors performed esophageal reconstruction with a pedicled right colon graft after salvage esophagectomy in eight patients. To decrease the rate of anastomotic leakage, the authors performed an additional microvascular anastomosis at the distal end of the graft. The distal stumps of the ileocolic artery and vein were anastomosed to the cervical vessels. After surgery, aspiration pneumonia and localized wound infection were observed in two patients each, but slight anastomotic leakage was observed in only one patient. Postoperative swallowing function was satisfactory in all patients. Although the incidence of anastomotic leakage is reportedly high, the authors observed anastomotic leakage in only one of eight patients. The authors believe that additional microvascular anastomosis helps prevent anastomotic leakage, especially in patients who have undergone salvage esophagectomy after curative chemoradiotherapy.
AB - Esophageal reconstruction after salvage esophagectomy in patients who have undergone curative-intent chemoradiotherapy for esophageal cancer is associated with a significant risk of perioperative morbidity and mortality. In particular, anastomotic leakage can cause severe and potentially fatal complications, including mediastinitis and pneumonia. The authors performed esophageal reconstruction with a pedicled right colon graft after salvage esophagectomy in eight patients. To decrease the rate of anastomotic leakage, the authors performed an additional microvascular anastomosis at the distal end of the graft. The distal stumps of the ileocolic artery and vein were anastomosed to the cervical vessels. After surgery, aspiration pneumonia and localized wound infection were observed in two patients each, but slight anastomotic leakage was observed in only one patient. Postoperative swallowing function was satisfactory in all patients. Although the incidence of anastomotic leakage is reportedly high, the authors observed anastomotic leakage in only one of eight patients. The authors believe that additional microvascular anastomosis helps prevent anastomotic leakage, especially in patients who have undergone salvage esophagectomy after curative chemoradiotherapy.
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UR - http://www.scopus.com/inward/citedby.url?scp=3242676234&partnerID=8YFLogxK
U2 - 10.1097/01.PRS.0000122211.29839.FE
DO - 10.1097/01.PRS.0000122211.29839.FE
M3 - Article
C2 - 15253180
AN - SCOPUS:3242676234
VL - 113
SP - 1934
EP - 1939
JO - Plastic and Reconstructive Surgery
JF - Plastic and Reconstructive Surgery
SN - 0032-1052
IS - 7
ER -