Subcutaneous transposition of the proximal oesophagus in oesophagoplasty

Experience with a new technique of oesophagoplasty is presented, in which the proximal part of the oesophagus is transposed to the subcutaneous space in front of the sternum and anastomosed to the organ replacing the oesophagus. This kind of operation has been performed successfully in five cases. T...

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Bibliographic Details
Published in:Thorax 1985-12, Vol.40 (12), p.936-939
Main Author: Yannopoulos, P A
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Colon - surgery
Esophagoplasty - methods
Esophagus
Esophagus - blood supply
Esophagus - diagnostic imaging
Female
Humans
Jejunum - surgery
Male
Medical sciences
Middle Aged
Radiography
Stomach - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
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Summary:Experience with a new technique of oesophagoplasty is presented, in which the proximal part of the oesophagus is transposed to the subcutaneous space in front of the sternum and anastomosed to the organ replacing the oesophagus. This kind of operation has been performed successfully in five cases. The advantages are: thoracotomy is avoided; oesophageal anastomosis is easily performed; anastomotic failure in the subcutaneous space is not a serious problem; revision of the anastomosis is easily performed under local anaesthesia; and the mortality rate due to oesophageal anastomotic failure is diminished. The procedure is indicated in cases where a long graft for oesophagoplasty is not available and intrathoracic anastomosis is not desirable. It may also be used after oesophagogastrectomy or total gastrectomy. The most common complication is the development of a salivary fistula that heals spontaneously in a few days.
ISSN:0040-6376
1468-3296
DOI:10.1136/thx.40.12.936