Surgery
Volume 147, Issue 2 , Pages 212-218 , February 2010

Repair using the pectoralis major muscle flap for anastomotic leakage after esophageal reconstruction via the subcutaneous route

  • Masaru Morita, MD, PhD

      Affiliations

    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
    • Corresponding Author InformationReprint requests: Masaru Morita, MD, PhD, Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.
    • ,
  • Keisuke Ikeda, MD

      Affiliations

    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
    • ,
  • Masahiko Sugiyama, MD

      Affiliations

    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
    • ,
  • Hiroshi Saeki, MD, PhD

      Affiliations

    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
    • ,
  • Akinori Egashira, MD, PhD

      Affiliations

    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
    • ,
  • Keiji Yoshinaga, MD, PhD

      Affiliations

    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
    • ,
  • Eiji Oki, MD, PhD

      Affiliations

    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
    • ,
  • Noriaki Sadanaga, MD, PhD

      Affiliations

    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
    • ,
  • Yoshihiro Kakeji, MD, PhD

      Affiliations

    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
    • ,
  • Junichi Fukushima, MD, PhD

      Affiliations

    • Department of Oto-Rhino-Laryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
    • ,
  • Yoshihiko Maehara, MD, PhD

      Affiliations

    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan

,Accepted 28 August 2009.

References 

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  11. Kuwano H, Nishimura Y, Ohtsu A, Kato H, Kitagawa Y, Tamai S, et al. Guidelines for diagnosis and treatment of carcinoma of the esophagus. April 2007 edition: part I, edited by the Japan Esophageal Society. Esophagus. 2008;5:61–73
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  14. Kroll SS, Goepefert H, Jones M, Guillamondegui O, Schusterman M. Analysis of complications in 168 pectoralis major myocutaneous flap used for head and neck reconstruction. Ann Plast Surg. 1990;25:93–97
  15. Zbar RIS, Funk GF, McCulloch TM, Graham SM, Hoffman SM. Pectoralis major myofascial flap: a valuable tool in contemporary head and neck reconstruction. Head Neck. 1997;19:412–418
  16. Heitmiller RF, McQuone SJ, Eisele DW. The utility of the pectoralis myocutaneous flap in the management of select cervical esophageal anastomotic complications. J Thorac Cardiovasc Surg. 1998;115:1250–1254
  17. Smoll-Juettner FM, Piere G, Schwarzl F, Pinter H, Ratzenhofer B, Prause G, et al. Life-saving muscle flaps in tracheobronchial dehiscence following resection or trauma. Eur J Cardiothorac Surg. 1997;12:351–355
  18. Mud HJ, van Houten H, Slingerland R, Sonneveld P, Kho S. A modified pectoralis muscle flap for closure of postpneumonectomy esophagopleural fistula: technique and results. Ann Thorac Surg. 1987;43:359–362
  19. Koga T, Morita M, Nishida K, Oki E, Kakeji Y, Maehara Y. Successful treatment of tracheohomediastinal fistula after tracheal injury obtained during esophagectomy using pectoralis major muscle: a case report. Esophagus. 2008;5:41–44
  20. Saito H, Minimiya Y, Izumi K, Suzuki H, Shikama T, Tenma K, et al. Repair of reconstructed gastric tube bronchial fistula after operation for esophageal cancer by transposing a pedicled pectoralis major muscle flap: report of three successful cases. Surgery. 1998;123:365–368
  21. Smith TJ, Burrage KJ, Ganguly P, Kirby S, Drover C. Prevention of postlaryngocutaneous fistula: the Memorial University experience. J Otolaryngol. 2003;32:222-5
  22. Righini C, Lequeux T, Cuisnier O, Morel N, Oeyt E. The pectoralis myofascial flap in pharyngolaryngeal surgery after radiotherapy. Eur Arch Otorhinolaryngol. 2005;262:357–361
  23. Albirmawy OA. Prevention of postlaryngectomy pharyngocutaneous fistula using a sternocleidomastoid muscle collar flap. J Laryngol Otol. 2007;121:253–257
  24. Crestanell JA, Deschamps C, Cassivi SD, Nichols FC, Allen MS, Allen MS, et al. Selective management of intrathoracic anastomotic leak after esophagectomy. J Thorac Cardiovasc Surg. 2005;129:254–260
  25. Martin LW, Swisher SG, Hofstetter W, Correa AM, Mehran RJ, Rice DC, et al. Intrathoracic leaks following esophagectomy are no longer associated with increased mortality. Ann Surg. 2005;242:392–402
  26. Williams KJ, Wood RJ, Hawes A, Mansour K. The use of the pectoralis myocutaneous flap for repair of a retrosternal esophagocolonic anastomotic leak. Plast Reconstr Surg. 1998;101:802–805

 Supported in part by a Grant-in-Aid from the Ministry of Education, Culture, Sport, Science and Technology of Japan.

PII: S0039-6060(09)00522-4

doi: 10.1016/j.surg.2009.08.013

Surgery
Volume 147, Issue 2 , Pages 212-218 , February 2010

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