Esophageal Reconstruction with Isolated Pedicled Segment of Colon for Cervical Esophageal Carcinoma

Masao Fujimaki

Second Department of Surgery, Toyama Medical and Pharmaceutical University

In patients with carcinoma of the cervical esophagus who have low grade disease and good prognosis or who had previously received a gastrectomy, an isolated pedicled segment of colon is used as first choice for esophageal reconstruction. It is possible to isolate a considerable length of colon for reconstruction, regardless of the route selected, to be brought up through, and patients will achieve good nutrition after the operation by preserving the stomach. An isolated segment of transverse colon or right colon is commonly used for reconstruction and it is placed in an isoperistaltic position. Because of the variation in vascular patterns, it is imperative at the operation to determine the vascular arrangement for transplantation. Then it is important for an adequate length of the isolated segment of the colon to be measured along its marginal artery to be brought up straight to the hypopharynx. In the cervical phase, if the caliber of the lumen of the hypopharynx is different from that of the upper end of the transplant, anastomosis of the two requires equalizing their calibers

Key words
esophageal reconstruction, carcinoma of cervical esophagus, colon replacement

Reprint requests
Masao Fujimaki Second Department of Surgery, Toyama Medical and Pharmaceutical University
2630 Sugitani, Toyama, 930-01 JAPAN

Accepted
April 17, 1991

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