Neoral Č, Aujeský R, Vrba R, Stašek M
Rozhl Chir. 2018 Spring;97(7):301-308.
The authors present a review article evaluating the use of the colon as a replacement for the esophagus. We present current indications for both benign and malignant conditions and compare the advantages and disadvantages of the technical possibilities of esophageal reconstruction. The surgical technique utilizing the vascular bundle of the left colic artery and retrosternal location of the colonic conduit is discussed and documented in detail. Furthermore, we describe both early and late complications, including their management. We conclude that the colon is a safe technical possibility for esophageal replacement with satisfactory early and long-term results in cases where gastric conduit is not available. Key words: esophageal replacement with colonic interposition - esophageal replacement complications - colon interposition for esophageal replacement technique - coloplasty - esophageal replacement surgery.
作者们发表了一篇综述文章，评估使用结肠替代食管的情况。我们阐述了目前针对良性和恶性疾病的适应证，并比较了食管重建技术可能性的优缺点。详细讨论并记录了利用左结肠动脉血管束及结肠管道胸骨后位置的手术技术。此外，我们描述了早期和晚期并发症，包括其处理方法。我们得出结论，在无法使用胃管道的情况下，结肠是替代食管的一种安全的技术选择，早期和长期效果均令人满意。关键词：结肠间置替代食管 - 食管替代并发症 - 结肠间置替代食管技术 - 结肠成形术 - 食管替代手术
