Bertheuil N, Isola N, Bergeat D, Mocquard C, Watier E, Rouze S, Meunier B
Service de chirurgie plastique et reconstructrice, université de Rennes 1, hôpital sud, 35200 Rennes, France; Inserm U1236, université de Rennes 1, 35000 Rennes, France; Laboratoire SITI, CHU de Rennes, 35000 Rennes, France.
Service de chirurgie plastique et reconstructrice, université de Rennes 1, hôpital sud, 35200 Rennes, France.
Ann Chir Plast Esthet. 2019 Apr;64(2):195-198. doi: 10.1016/j.anplas.2018.08.005. Epub 2018 Sep 17.
Anastomotic leakage frequently complicates esophagectomy and can trigger a rare life- threatening complication, a tracheoesophageal fistula. No guideline has yet addressed this complication. Plastic surgeons play a crucial role for salvage surgery. When a re-operation is chosen the possibilities of flap interposition depend on how the thoracotomy was initially performed. This study tried to identify key techniques in order help thoracic or general surgeons to preserve all the local flaps available for TEF if it occurs. These techniques improve flap conservation, helping plastic surgeons when a later transposition flap is required.
吻合口漏常常使食管切除术变得复杂，并可能引发一种罕见的危及生命的并发症——气管食管瘘。目前尚无指南涉及这一并发症。整形外科医生在挽救手术中发挥着关键作用。当选择再次手术时，皮瓣插入的可能性取决于最初开胸手术的方式。本研究试图确定关键技术，以帮助胸外科医生或普通外科医生在发生气管食管瘘时保留所有可用的局部皮瓣。这些技术有助于保留皮瓣，在后期需要转位皮瓣时对整形外科医生有帮助。
