Pedicled ileal flap to repair large duodenal defect after right hemicolectomy for right colon cancer invading the duodenum.
Although right-sided colon cancer occasionally invades the second part of the duodenum, there is no standard procedure for reconstructing a large duodenal defect after resection. This report describes a new approach we recently devised. After resecting the right hemicolon and the involved duodenum, a segment of terminal ileum was isolated on the vascular pedicle, sacrificing the adjacent ileum. We created a flap by opening the segment along the antimesenteric border, and used this flap to cover the defect. This method does not create a nonanatomical bypass and fewer intestinal anastomoses are required than for Roux-en-Y reconstruction.
Ishiguro
Seiji
S
Department of Surgery, Yachiyo Hospital, 1-10-13 Toei-cho, Anjo, Aichi, Japan.
Moriura
Shigeaki
S
Kobayashi
Ichiro
I
Tabata
Tomotake
T
Yoshioka
Yuichiro
Y
Matsumoto
Takatoshi
T
D000368:Aged; D000369:Aged, 80 and over; D003110:Colonic Neoplasms / Q000473:pathology* / Q000601:surgery*; D013505:Digestive System Surgical Procedures; D004386:Duodenum / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D009361:Neoplasm Invasiveness; D013524:Surgical Flaps