Surgical Treatment for Corrosive Stricture of the Esophagus -Esophagoplasty with Latissimus Dorsi Myocutaneous Flap-

Junji Ohta, Hiromasa Fujita, Yoshiaki Tsuji, Hideaki Yamana, Genzan Shirouzu, Taizou Minami, Teruo Kakegawa

First Department of Surgery, Kurume University School of Medicine

A fourteen-year-old girl with a corrosive stricture in the esophagus accompanied by an esophagotracheal fistula underwent esophagoplasty by introduction of a latissimus dorsi myocutaneous flap into the thoracic cavity. Leakage on the anastomotic line was evident three weeks after the operation, but was localized in the flap and healed spontaneously within three months. For corrosive stricture of the esophagus, a bypass operation using a gastric or colonic pedicle graft is commonly performed. However, we performed this operation for the perposes; first to undergo esophagoplasty using cutaneous one of myocutaneous flap and reinfoce the closure of the esophagotracheal fistula using muscle flap, and secondly to preserve the esophagus as much as we can. The other side, from our experience, as esophagoplasty using the latissimus dorsi myocutaneous flap, postoperative complications such as leakage or stenosis on the anastomotic line require careful attention.

Key words
corrosive stricture of the esophagus, esophagotracheal fistula, latissimus dorsi myocutaneous flap

Reprint requests
Junji Ohta First Department of Surgery, School of Medicine, Kurume University
67 Asahi-machi, Kurume, 830 JAPAN

Accepted
November 19, 1990

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