Hamai Yoichi, Hihara Jun, Emi Manabu, Tanabe Kazuaki, Miyamoto Yoshihiro, Okada Morihito
Department of Surgical Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.
Ann Thorac Surg. 2009 May;87(5):1605-7. doi: 10.1016/j.athoracsur.2008.09.069.
The occurrence of esophageal conduit necrosis after esophagectomy in patients with esophageal cancer is rare, but it is associated with severe and fatal complications, and the subsequent surgical reconstruction required by such patients is challenging. We reconstructed the esophagus using a skin tube prepared from a myocutaneous flap of the anterior chest wall in a patient whose entire thoracic esophagus was missing due to reconstructed conduit necrosis after surgery for esophageal cancer. Four years after skin tube reconstruction, the patient remains free of cancer recurrence with good oral intake and has resumed routine activities. Thus, the skin tube is considered very useful for salvage esophageal reconstruction.
食管癌患者食管切除术后发生食管代用品坏死的情况罕见，但与严重及致命并发症相关，且此类患者后续所需的手术重建具有挑战性。我们为一名因食管癌手术后重建管道坏死导致整个胸段食管缺失的患者，采用取自前胸壁肌皮瓣制备的皮管重建食管。皮管重建四年后，患者无癌症复发，经口进食良好，并已恢复日常活动。因此，皮管被认为对挽救性食管重建非常有用。
