Colon Interposition after Radical Total Pharyngolaryngoesophagectomy in a Patient with Subtotal Gastrectomy.
- Author:
Sang Hyeok LEE
1
;
Sang Hoon LEE
;
Eun Chang CHOI
;
Choong Bai KIM
Author Information
1. Department of Surgery, Younsei University, Collage of Medicine, Seoul, Korea. cbkimmd@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Radical total pharyngolaryngoesophagectomy (PLE);
Colon interposition;
Pharyngeal cancer;
Cervical esophageal cancer
- MeSH:
Arteries;
Colic;
Colon*;
Esophageal Neoplasms;
Gastrectomy*;
Gastric Bypass;
Humans;
Hypopharyngeal Neoplasms;
Incidence;
Korea;
Myocutaneous Flap;
Pharyngeal Neoplasms;
Stomach
- From:Journal of the Korean Surgical Society
2007;73(4):337-339
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The principle treatment for cervical esophageal cancer and hypopharyngeal cancer with esophageal invasion is radical total pharyngolaryngoesophagectomy (PLE), and it is necessary to totally reconstruct the defect of the resected organ. Stomach, small bowel, colon, a laryngotracheal flap and a pectoralis major musculocutaneous flap can all be used. We commonly use stomach because stomach has a rich blood supply and a low incidence of leakage. But in this present reported case, because previous radical subtotal gastrectomy with gastrojejunostomy had been done, we had to use colon for reconstruction. We use the left colon and left colic artery, and there were no complications. We report here on using the left colon and left colic artery to reconstruct a PLE defect for the first time in Korea.
