Reconstruction of intrathoracic oesophagus using tubular lateral thigh free flap

M. D. Marco Benazzo, Antonio Occhini, Giansilvio Fossati, Giuseppe Caracciolo

Research output: Contribution to journalArticlepeer-review

Abstract

The gastric pull-up or pharyngogastroplasty is the most widely used technique in reconstructing the digestive tract in cases of distal oesophageal tumours. This operation consists of drawing the stomach or part of it up through the chest and mediastinic region to the neck where a mucosal anastomosis with the residual pharyngeal tract is made. The most feared complication is proximal necrosis of the gastric stump with salivary fistulae usually followed by a mediastinitis. In the presence of such a complication the surgeon must tackle the challenge of reconstructing the missing part of the intrathoracic digestive tract. We describe the case of a patient in whom the missing intrathoracic oesophagus, following complete necrosis of a previously performed pharyngogastroplasty, was reconstructed using a revascularized lateral thigh free flap.

Original languageEnglish
Pages (from-to)551-553
Number of pages3
JournalJournal of Laryngology and Otology
Volume114
Issue number7
Publication statusPublished - 2000

Keywords

  • Oesophagus
  • Reconstructive surgical procedures
  • Surgical flaps

ASJC Scopus subject areas

  • Otorhinolaryngology

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