Extended left colon interposition for pharyngoesophageal reconstruction using distal‐end arterial enhancement

Lu, Hung-I; Kuo, Feng-Chih; Chien, Chin-Yen

doi:10.1002/micr.20533

Cited by 10 publications

(4 citation statements)

References 19 publications

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“…Currently available surgical procedures for advanced hypopharyngeal carcinoma with cervical esophageal invasion include gastric pull-up, free jejunal flap transplantation and musculocutaneous flap [1][2][3][4]. Although all these techniques can provide a good pharyngoesophageal reconstruction, viscera transfer associated with higher rates of operative mortality and fistula formation, and the use of pectoralis major myocutaneous flap or free flap for tubular repair can also lead to anastomotic stricture [5].…”

Section: Introductionmentioning

confidence: 98%

Xenogeneic acellular dermal matrix in combination with pectoralis major myocutaneous flap reconstructs hypopharynx and cervical esophagus

Yin

Tang

Wang

et al. 2014

Eur Arch Otorhinolaryngol

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The aim of this study was to explore xenogeneic acellular dermal matrix (ADM) in combination with pectoralis major myocutaneous flap in hypopharynx and cervical esophagus reconstruction. A total of five patients were treated with this surgical method to reconstruct hypopharynx and cervical esophagus in Second Xiangya Hospital between January 2012 and April 2013. Four of them had hypopharyngeal carcinoma with laryngeal and cervical esophageal invasion, while the fifth patient with hypopharyngeal cancer had developed scars and atresia after postoperative radiotherapy. The defect length after hypopharyngeal and cervical esophageal resection was 6-8 cm, and was repaired by a combination of ADM and pectoralis major myocutaneous flap by our team. Interestingly, the four patients had primary healing and regained their eating function about 2-3 weeks after surgery, the fifth individual suffered from pharyngeal fistula, but recovered after dressing change about 2 months. Postoperative esophageal barium meals revealed that the pharynx and esophagus were unobstructed in all five patients. Xenogeneic ADM in combination with pectoralis major myocutaneous flap for hypopharynx and cervical esophagus reconstruction is a simple, safe and effective method with fewer complications. Nevertheless, according to the defect length of the cervical esophagus, the patients need to strictly follow the medical advice.

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Section: Introductionmentioning

confidence: 98%

Xenogeneic acellular dermal matrix in combination with pectoralis major myocutaneous flap reconstructs hypopharynx and cervical esophagus

Yin

Tang

Wang

et al. 2014

Eur Arch Otorhinolaryngol

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“…Additional steps, superdrainage and supercharge techniques, can be performed on the eso-colic anastomosis to improve the vascular supply of the graft (23,24).…”

Section: Anastomosesmentioning

confidence: 99%

Peculiarities of intra-thoracic colon interposition—eso-coloplasty: indications, surgical management and outcomes

et al. 2018

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Stomach is the usual organ of choice for oesophageal replacement. Gastric pull-up is a standardized, fast and secure procedure, requiring only one anastomosis and usually performed with mini-invasive techniques. Colon is used when the stomach is not available, for tumours of the upper oesophagus or the hypopharynx, for benign or paediatric diseases. It is a complex surgery requiring a specific pre-operative management, three or four anastomoses, and a careful choice of the route of reconstruction. Early post-operative complications, such as anastomotic leakage, are frequent. Long-term outcomes are marked by strictures of the anastomosis and redundancy, but the reported quality of life of the patients is good. Eso-coloplasty remains a safe and feasible alternative to gastric pull-up for oesophageal replacement, for specific indications.

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“…For right colic transplants it is performed between the internal thoracic and the ileocolic arteries (17). For left ones between the stump of the sigmoid artery and the superior thyroid artery or the facial artery (56,57). Several publications report the successful use of those techniques, though the number of procedures must be increased to truly evaluate the impact of superdrainage and supercharged on colon interposition outcomes (15,17,(54)(55)(56)(57).…”

Section: Digestive Anastomosesmentioning

confidence: 99%

European perspective in Thoracic surgery—eso-coloplasty: when and how?

Gust

Ouattara

Coosemans³

et al. 2016

J. Thorac. Dis.

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Colon interposition has been used since the beginning of the 20(th) century as a substitute for esophageal replacement. Colon interposition is mainly chosen as a second line treatment when the stomach cannot be used, when the stomach has to be resected for oncological or technical reasons, or when the stomach is deliberately kept intact for benign diseases in young patients with long-life expectancy. During the surgery the vascularization of the colon must be carefully assessed, as well as the type of the graft (right or left colon), the length of the graft, the surgical approach and the route of the reconstruction. Early complications such as graft necrosis or anastomotic leaks, and late complications such as redundancy depend on the quality of the initial surgery. Despite a complex and time-consuming procedure requiring at least three or four digestive anastomoses, reported long term functional outcomes of colon interposition are good, with an acceptable operative risk. Thus, in very selected indications, colon interposition could be seen as a valuable alternative for esophageal replacement when stomach cannot be considered. This review aims at briefly defining "when" and "how" to perform a coloplasty through demonstrative videos.

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Extended left colon interposition for pharyngoesophageal reconstruction using distal‐end arterial enhancement

Cited by 10 publications

References 19 publications

Xenogeneic acellular dermal matrix in combination with pectoralis major myocutaneous flap reconstructs hypopharynx and cervical esophagus

Xenogeneic acellular dermal matrix in combination with pectoralis major myocutaneous flap reconstructs hypopharynx and cervical esophagus

Peculiarities of intra-thoracic colon interposition—eso-coloplasty: indications, surgical management and outcomes

European perspective in Thoracic surgery—eso-coloplasty: when and how?

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