title: Chimeric Anterolateral Thigh Flap for Total Thoracic Esophageal Reconstruction.
abstract: Gastric pull-up is generally the first choice for a total thoracic esophageal reconstruction. Malfunction of this gastric conduit is uncommon, but devastating when it occurs: it causes marked comorbidity to the patient, preventing oral intake and worsening quality of life. Secondary salvage thoracic esophageal reconstruction surgery is usually performed with free or pedicled jejunum flaps or colon interposition. We present a case of a total thoracic esophageal reconstruction with an externally monitored chimeric anterolateral thigh flap, extending from the cervical esophagus to the retrosternal gastroplasty remnant. Intestinal reconstructive techniques were not an available option for this patient.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Virgen del Rocío University Hospital, Seville, Spain. Electronic address: dr.ruizmoya@gmail.com.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Ruiz-Moya
authors.affiliation: Department of General Surgery, Virgen del Rocío University Hospital, Seville, Spain.
authors.forename: Juan J
authors.initials: JJ
authors.lastname: Segura-Sampedro
authors.affiliation: Department of Plastic and Reconstructive Surgery, Virgen del Rocío University Hospital, Seville, Spain.
authors.forename: Domingo
authors.initials: D
authors.lastname: Sicilia-Castro
authors.affiliation: Department of Plastic and Reconstructive Surgery, Virgen del Rocío University Hospital, Seville, Spain.
authors.forename: Francisco
authors.initials: F
authors.lastname: Carvajo-Pérez
authors.affiliation: Department of Plastic and Reconstructive Surgery, Virgen del Rocío University Hospital, Seville, Spain.
authors.forename: Tomás
authors.initials: T
authors.lastname: Gómez-Cía
authors.affiliation: Department of General Surgery, Virgen del Rocío University Hospital, Seville, Spain.
authors.forename: Antonio
authors.initials: A
authors.lastname: Vázquez-Medina
authors.affiliation: Department of General Surgery, Virgen del Rocío University Hospital, Seville, Spain.
authors.forename: Francisco
authors.initials: F
authors.lastname: Ibáñez-Delgado
mesh_terms: D004938:Esophageal Neoplasms / Q000601:surgery*; D004944:Esophagoplasty / Q000379:methods*; D004947:Esophagus / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation*; D011788:Quality of Life; D013524:Surgical Flaps; D013848:Thigh / Q000601:surgery*