Chimeric Anterolateral Thigh Flap for Total Thoracic Esophageal Reconstruction.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 26694271.
- Also identified by DOI 10.1016/j.athoracsur.2015.02.121.
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Abstract
Gastric pull-up is generally the first choice for a total thoracic esophageal reconstruction. Malfunction of this gastric conduit is uncommon, but devastating when it occurs: it causes marked comorbidity to the patient, preventing oral intake and worsening quality of life. Secondary salvage thoracic esophageal reconstruction surgery is usually performed with free or pedicled jejunum flaps or colon interposition. We present a case of a total thoracic esophageal reconstruction with an externally monitored chimeric anterolateral thigh flap, extending from the cervical esophagus to the retrosternal gastroplasty remnant. Intestinal reconstructive techniques were not an available option for this patient.
Medical subject headings
- Esophageal Neoplasms
- Esophagoplasty
- Esophagus
- Muscle, Skeletal
- Surgical Flaps
- Thigh