[Total oesophageal resection with interposition of the left hemi-colon in a one-stage procedure (author's transl)].
Total oesophageal resection for cancer is a major procedure, involving surgery within the thoracic cage, the abdomen and the cervical mediastinum. Plastic restruction using a segment of colon which is placed retrosternally between the cervical oesophagus and the stomach, is an additional procedure of considerable difficulty. Most surgeons, therefore, prefer a two-stage operation. In order to spare patients the unpleasantness of a cervical fistula and a gastrostomy, the author describes a procedure of total resection of the oesophagus with interposition of the left hemi-colon in a one-stage procedure. Careful selection of patients is naturally imperative, but the immediate postoperative results enabling the patient to swallow again at once is most gratifying.
D003106:Colon / Q000637:transplantation*; D004938:Esophageal Neoplasms / Q000601:surgery*; D004944:Esophagoplasty; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D011014:Pneumonia / Q000209:etiology; D011183:Postoperative Complications; D014182:Transplantation, Autologous
Oesophagustotalexstirpation mit Zwischenschaltung der linken Kolonhälfte in einem Akt