A latissimus dorsi muscle flap used for repair of the esophagus after enucleation of a giant leiomyoma--a case report.
A giant leiomyoma of the esophagus, 11.5 X 5.0 cm in size, which occupied half of the esophageal circumference, was surgically enucleated. A small epithelial defect caused by the enucleation of the tumor was directly closed, and a large muscular defect was covered with a latissimus dorsi muscle flap, introduced into the thoracic cavity through the space where the second rib had been resected. Postoperatively, a leakage at the epithelial suture line was noted, however, it was localized by the muscle flap coverage and spontaneously healed two weeks postoperatively. During the follow-up period of 1.5 years, no diverticle formation or stenosis occurred, and the patient had no complaints. The present clinical experience indicates that this procedure may be a useful method of grafting after excision of giant leiomyoma of the esophagus.
Fujita
H
H
First Department of Surgery, Kurume University, School of Medicine, Fukuoka, Japan.
Yoshimura
Y
Y
Yamana
H
H
Shirouzu
G
G
Minami
T
T
Negoto
Y
Y
Irie
H
H
Shima
I
I
Machi
J
J
Kakegawa
T
T
D000328:Adult; D004938:Esophageal Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D004944:Esophagoplasty / Q000379:methods*; D006801:Humans; D007889:Leiomyoma / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011859:Radiography; D013524:Surgical Flaps