Study of Esophageal Replacement with Colon — — A Report of 51 Cases
10.3969/j.issn.1000-467X.2001.05.018
- VernacularTitle:结肠代食管术的探讨 ——附 51例临床分析
- Author:
Zhong-Da CAI
1
;
Jun-Zhong LU
;
Ru-Ming YANG
;
Wei-Jie HE
Author Information
1. Hospital of Xiamen University
- From:Chinese Journal of Cancer
2001;20(5):523-526
- CountryChina
- Language:Chinese
-
Abstract:
Objective： This study was designed to evaluate the clinical experience of esophageal replacement with colon (ERC). Methods： Among 51 patients, 6 with benign stricture and 45 with esophageal carcinoma, all of them were performed cervical esophagocologastrostomy. Among 51 patients, 48 patients received ERC by the transverse colon, including isoperistaltic anastomosis (27/48) and antiperistaltic anastomosis (21/48); three patients received ERC along the peristaltic direction by the right-side colon. In these patients, 24 cases were supplied blood by the arteria colica media and 27 cases by the arteria colica sinistra. Results： There was no operative death in the whole group. The postoperative complications consisted of leakage of cervical anastomosis(2 cases), cervical wound inflammation(3 cases), laryngeal recurrent nerve injury (1 cases), lung inflammation (3 cases). Conclusion： The authors conclude that colon was rich in blood and enough in length so that it can be grafted into neck and anastomosed with the esophagus and the result is satisfactory. Improved surgical technique can reduce the incidence of complications of ERC.
