Abstract
We report a patient with complications of cervical esophageal anastomosis after esophagectomy for cancer. A 61-year-old woman with advanced cervical esophageal cancer underwent radical chemoradiotherapy (66 Gy, 5-fluorouracil, and cisplatin), after which salvage surgery was performed because of residual malignancy. Anastomotic leakage occurred at the right side of the pharyngojejunostomy, causing an abscess to form around the right carotid artery and internal jugular vein. The debrided abscess space was filled with a vascularized pectoralis major myocutaneous flap replenished around a T-tube, and continuous suction of the anastomotic drainage was performed through the T-tube. Treatment was successful, and the patient was discharged. We introduce a promising new method that proved effective and safe for treating a patient with leakage of the cervical esophagus anastomosis after salvage surgery following radical chemoradiotherapy.
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C Engel A Nilles-Schendera H Frommhold (2000) ArticleTitleAnimal experiment study of anastomosis healing after partial resection of the pre-irradiated thoracic esophagus Laryngo Rhino Otol 79 43–9 Occurrence Handle1:STN:280:DC%2BD3c7lsVaksw%3D%3D
N Gotohda M Nishimura J Yoshida K Nagai N Boku A Ohtsu (2002) ArticleTitleSalvage operation for esophageal cancer after radical chemotherapy Kyobu Geka 55 743–6 Occurrence Handle1:STN:280:DC%2BD38vitVKjsQ%3D%3D Occurrence Handle12174616
JD Richardson GR Tobin (1994) ArticleTitleClosure of esophageal defects with muscle flaps Arch Surg 129 541–8 Occurrence Handle1:STN:280:ByuB2c7ovVU%3D Occurrence Handle8185477
JM Loré AE Meier (1988) Pectoralis major myocutaneous flap An atlas of head and neck surgery EditionNumber3rd ed. Saunders Philadelphia 316–43
RT Cusumano CE Silver RJ Braner B Strauch (1989) ArticleTitlePectoralis myocutaneous flap for reconstruction of cervical esophagus Head Neck 11 450–6 Occurrence Handle1:STN:280:By%2BD3sngt1A%3D Occurrence Handle2807885
R Tiwari (1990) ArticleTitleExperiences with the sternocleidomastoid muscle and myocutaneous flaps J Laryngol Otol 104 315–21 Occurrence Handle1:STN:280:By%2BA3MjjvFI%3D Occurrence Handle2370453
DL Larson H Goepfert (1982) ArticleTitleLimitations of the sternocleidomastoid musculocutaneous flap in head and neck cancer reconstruction Plast Reconstr Surg 70 328–35 Occurrence Handle1:STN:280:Bi2B2srlvVA%3D Occurrence Handle6287511
H Chen Y Tang MS Noordhoff (1987) ArticleTitlePatch esophagoplasty with musculocutaneous flaps as treatment of complications after esophageal reconstruction Ann Plast Surg 19 448–53 Occurrence Handle1:STN:280:BieD2srnsFU%3D Occurrence Handle3688791
OA Abbott KA Mansour WD Logan SuffixJr CR Hatcher SuffixJr PN Symbas (1970) ArticleTitleAtraumatic so-called “spontaneous” rupture of the esophagus. A review of 47 personal cases with comments on a new method of surgical therapy J Thorac Cardiovasc Surg 59 67–83 Occurrence Handle1:STN:280:CS%2BD28jhvVc%3D Occurrence Handle5409955
AR Naylor WS Walker J Dark EW Cameron (1990) ArticleTitleT tube intubation in the management of seriously ill patients with oesophagopleural fistulae Br J Surg 77 40–2 Occurrence Handle1:STN:280:By%2BC2cblsFc%3D Occurrence Handle2302511
Y Sakamoto N Tanaka T Furuya T Ueno H Okamoto M Nagai et al. (1997) ArticleTitleSurgical management of late esophageal perforation Thorac Cardiovasc Surg 45 269–72 Occurrence Handle1:STN:280:DyaK1c7jsl2ntg%3D%3D Occurrence Handle9477457
T Ochiai S Hiranuma N Takiguchi K Ito K Teramoto T Kawano et al. (2004) ArticleTitleOmental wrapping of esophageal rupture in combination with T-tube drainage Esophagus 1 143–6 Occurrence Handle10.1007/s10388-004-0024-2
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Hirao, M., Yoshitatsu, S., Tsujinaka, T. et al. Pectoralis myocutaneous flap with T-tube drainage for cervical anastomotic leakage after salvage operation. Esophagus 3, 33–36 (2006). https://doi.org/10.1007/s10388-005-0067-z
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DOI: https://doi.org/10.1007/s10388-005-0067-z