Department of Surgery, Yamaguchi Rosai Hospital.
J UOEH. 2020;42(4):331-334. doi: 10.7888/juoeh.42.331.
When performing esophageal reconstruction, a colonic pedicle graft is chosen as the next candidate to the stomach because of complications arising from the operation time and vascular anastomosis. Vascular anastomosis is not necessarily required for pedicle grafts, but it is necessary to perform additional vascular anastomosis in some cases. We herein report a case of superdrainage in which anastomosis of the colonic vein and the right internal thoracic vein was effective against congestion. A 68-year-old man with thoracic esophageal cancer and pyloric antrum gastric cancer was referred to our hospital. Complete resection was performed with subtotal esophageal resection and total gastrectomy. We added superdrainage (right internal thoracic vein - ileocolic vein) to the colonic pedicle graft, which showed congestion, and performed esophageal reconstruction. Venous superdrainage using a colonic pedicle graft is effective for esophageal reconstruction.
在进行食管重建时，由于手术时间和血管吻合的并发症，选择结肠蒂移植物作为胃的下一个候选物。蒂移植物不一定需要血管吻合，但在某些情况下需要进行额外的血管吻合。我们在此报告一例超级引流病例，其中结肠静脉和右内胸静脉吻合术对充血有效。一名 68 岁男性患有胸段食管癌和幽门窦胃癌，被转至我院。行次全食管切除术和全胃切除术进行完全切除。我们在出现充血的结肠蒂移植物上增加了超级引流（右内胸静脉-回结肠静脉），并进行了食管重建。使用结肠蒂移植物进行静脉超级引流对于食管重建是有效的。
