Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.
Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.
Ann Thorac Surg. 2019 Jun;107(6):e409-e410. doi: 10.1016/j.athoracsur.2018.09.068. Epub 2018 Nov 14.
The use of the stomach as an esophageal substitute after esophagectomy is the most commonly accepted as the standard. The colon and supercharged pedicled jejunum are acceptable options for esophageal reconstruction when the stomach is unavailable. We describe a case of esophageal cancer with a history of right hemicolectomy scheduled McKeown esophagogastrectomy. During celiac detection, the gastroepiploic artery had been resected, and the jejunum had a relatively short mesentery. In such a situation, we used an unconventional gastric conduit with the right gastric artery as the sole blood supply to complete cervical reconstruction.
胃被用作食管切除术后的食管替代物，这是最常被接受的标准。当胃不可用时，结肠和增压带蒂空肠是食管重建的可接受选择。我们描述了一例右半结肠切除术病史的食管癌患者，计划行 McKeown 食管胃切除术。在腹腔动脉检测过程中，胃网膜动脉已被切除，空肠系膜相对较短。在这种情况下，我们使用了一种非常规的胃管，以右胃动脉作为唯一的血液供应，完成了颈部重建。
