Chimeric Anterolateral Thigh Flap for Total Thoracic Esophageal Reconstruction.

Autor:	Ruiz-Moya A; Department of Plastic and Reconstructive Surgery, Virgen del Rocío University Hospital, Seville, Spain. Electronic address: dr.ruizmoya@gmail.com., Segura-Sampedro JJ; Department of General Surgery, Virgen del Rocío University Hospital, Seville, Spain., Sicilia-Castro D; Department of Plastic and Reconstructive Surgery, Virgen del Rocío University Hospital, Seville, Spain., Carvajo-Pérez F; Department of Plastic and Reconstructive Surgery, Virgen del Rocío University Hospital, Seville, Spain., Gómez-Cía T; Department of Plastic and Reconstructive Surgery, Virgen del Rocío University Hospital, Seville, Spain., Vázquez-Medina A; Department of General Surgery, Virgen del Rocío University Hospital, Seville, Spain., Ibáñez-Delgado F; Department of General Surgery, Virgen del Rocío University Hospital, Seville, Spain.
Jazyk:	angličtina
Zdroj:	The Annals of thoracic surgery [Ann Thorac Surg] 2016 Jan; Vol. 101 (1), pp. 338-42.
DOI:	10.1016/j.athoracsur.2015.02.121
Abstrakt:	Gastric pull-up is generally the first choice for a total thoracic esophageal reconstruction. Malfunction of this gastric conduit is uncommon, but devastating when it occurs: it causes marked comorbidity to the patient, preventing oral intake and worsening quality of life. Secondary salvage thoracic esophageal reconstruction surgery is usually performed with free or pedicled jejunum flaps or colon interposition. We present a case of a total thoracic esophageal reconstruction with an externally monitored chimeric anterolateral thigh flap, extending from the cervical esophagus to the retrosternal gastroplasty remnant. Intestinal reconstructive techniques were not an available option for this patient. (Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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