[The use of interposed colon for endothoracic anastomosis in esophageal surgery].
OBJECTIVE
To study the use of interposed colon for endothoracic anastomosis in esophageal surgery.


METHODS
From May 1991 to December 1993, 28 cases were selected with carcinoma of the middle and/or lower segment of esophagus. After tumor resection, a segment of transverse colon with peduncle was anastomosed in its peristaltic direction to the two ends of the severed esophagus. The vagus nerve innervating esophagus and stomach was intact, the anastomical position of the esophagus-cardia hiatus and the stomach were preserved.


RESULTS
No anastomosis leakage, reflux esophagitis or the symptoms caused by the endothoracic stomach occured in this group. The digestive function of the patients remained good. The 1-, 3-, 5-year survical rate was 96.6%, 92.8% and 71.4%, respectively.


CONCLUSIONS
The interposed colon for endothoracic anastomosis is a comparatively ideal method for the reconstruction of esophagus following resection of cancer of mid and lower thind of the esophagus.
Liu
F
F
Department of Thoracic Surgery, Shanxi Tumour Hospital, Taiyuan 030013, China.
Zhang
R
R
Qiu
Z
Z
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods*; D003106:Colon / Q000601:surgery*; D004063:Digestion / Q000502:physiology; D004938:Esophageal Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015996:Survival Rate