title: Skin tube reconstruction for esophageal defect due to postoperative complication.
abstract: The occurrence of esophageal conduit necrosis after esophagectomy in patients with esophageal cancer is rare, but it is associated with severe and fatal complications, and the subsequent surgical reconstruction required by such patients is challenging. We reconstructed the esophagus using a skin tube prepared from a myocutaneous flap of the anterior chest wall in a patient whose entire thoracic esophagus was missing due to reconstructed conduit necrosis after surgery for esophageal cancer. Four years after skin tube reconstruction, the patient remains free of cancer recurrence with good oral intake and has resumed routine activities. Thus, the skin tube is considered very useful for salvage esophageal reconstruction.
authors.affiliation: Department of Surgical Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan. yyhamai@hotmail.com
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Hamai
authors.forename: Jun
authors.initials: J
authors.lastname: Hihara
authors.forename: Manabu
authors.initials: M
authors.lastname: Emi
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Tanabe
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Miyamoto
authors.forename: Morihito
authors.initials: M
authors.lastname: Okada
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000009:adverse effects*; D004947:Esophagus / Q000002:abnormalities*; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D011183:Postoperative Complications / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D012086:Reoperation; D016038:Skin Transplantation / Q000379:methods*; D013274:Stomach Neoplasms / Q000601:surgery; D013524:Surgical Flaps; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents