Isoperistaltic left colic graft interposition via a retrosternal approach for esophageal reconstruction in patients with a caustic stricture: mortality, morbidity, and functional results

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• 作者：Abdelkader Boukerrouche (1) (2)
  
• 关键词：Esophageal caustic stricture ; Colon interposition
• 刊名：Surgery Today
• 出版年：2014
• 出版时间：May 2014
• 年：2014
• 卷：44
• 期：5
• 页码：827-833
• 全文大小：411 KB
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• 作者单位：Abdelkader Boukerrouche (1) (2)
  
  1. Department of Digestive Surgery, Beni-Messous Hospital, University of Algiers, Algiers, Algeria
  2. 22 Draa City, 16002, Cheraga Algiers, Algeria
  
• ISSN：1436-2813

文摘

Purpose To report our results of treating esophageal caustic stricture with an isoperistaltic left colic graft interposed via a retrosternal route. Methods We reviewed 70 patients who underwent substernal left colon interposition, performed retrosternally, for an esophageal caustic stricture, between January, 1999 and December, 2011. Results The median operative time in this series was 3?h. A pharyngoplasty was performed in 10 patients (14.28?%), the thoracic inlet was found to be enlarged in 33 patients (47.1?%), and posterior cologastric anastomosis was performed in 58 patients (82.8?%). Two patients (2.8?%) died. Minor and major postoperative complications developed in 28 patients (40?%), including graft ischemia in 2 (2.8?%) and cervical anastomotic leakage in 14 (20?%). Five patients (7.14?%) developed a cervical anastomotic stricture. The functional results were satisfactory. Conclusion Retrosternal isoperistaltic left colic transplant interposition is an excellent long-term replacement for an esophageal caustic stricture. If performed by experienced surgeons, this procedure is effective for esophageal reconstruction.