Subcutaneous reconstruction using ileocolon with preserved ileocolic vessels following esophagectomy or in esophageal bypass operation.
BACKGROUND
When forming an esophageal substitute with an ileocolon in esophageal reconstruction with cervical anastomosis, the ileocolic vessels should be divided in many cases and this may be followed by the occurrence of poor blood circulation in the pulled-up substitute.


METHODS
Twenty-two consecutive esophageal reconstructions using an all-main-vessel-preserving ileocolon had been performed in the past 4 years and we evaluated the usefulness of this surgical modality.


RESULTS
In every case, the extension length of the ileocolon was sufficient for esophageal reconstruction. There were no serious surgical complications concerning the esophageal substitutes such as necrosis of the pulled-up ileocolon.


CONCLUSIONS
Although it was thought that the surgical techniques shown here were possible only in selected patients, successful esophageal reconstructions were achieved with this new concept in 22 consecutive patients with various backgrounds. The procedures shown here are not new; however, the concept of using the all-main-vessel-preserving ileocolon as an esophageal substitute for every patient requiring esophageal reconstruction is new.
Department of Surgery, Tokyo Medical and Dental University Hospital, Yushima 1-5-45, Bunkyo-ku, Tokyo, Japan. kawano.srg1@tmd.ac.jp
Tatsuyuki
T
Kawano
Tetsuro
T
Nishikage
Kenro
K
Kawada
Yasuaki
Y
Nakajima
Kazuyuki
K
Kojima
Kagami
K
Nagai
D000368:Aged; D000369:Aged, 80 and over; D003106:Colon / Q000098:blood supply* / Q000637:transplantation; D004947:Esophagus / Q000601:surgery*; D005260:Female; D006801:Humans; D007082:Ileum / Q000098:blood supply* / Q000637:transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D019738:Surgically-Created Structures; D016896:Treatment Outcome