O uso do tubo colônico bipediculado microcirúrgico na reconstrução do esôfago

Revista do Colégio Brasileiro de Cirurgiões

Mário Sérgio Lomba Galvão²  Carlos Eduardo Pinto¹  Juliano Carlos Sbalchiero¹ 

[1] ,INCa Serviço de Microcirurgia

关键词: Esophagus;    Esophageal neoplasms;    Carcinoma;    Reconstruction;    Microsurgery;    Postoperative complications;    Colon;    Rehabilitation;   

DOI  :  10.1590/S0100-69912003000300012

来源: SciELO

【 摘 要 】

In some cases of esophageal reconstruction, it is not possible to use the gastric tube. In those cases, the second option is the reconstruction with a colonic segment. In the present paper, the authors present the use of microsurgical technique to improve vascular supply in esophageal reconstructions using the colon. Therefore, the transposed segment becomes perfused by two vascular pedicles: a proximal one and a distal one. The authors describe a case of 52 years-old patient, suffering of middle third esophagus carcinoma, who underwent a primarily esophageal resection with an unsuccessful reconstruction using gastric transposition. A new reconstruction was proposed using a bipedicle microcirurgical colonic tube, four months later. The post operative was uneventful with rehabilitation of swallowing and satisfactory recovery of nutritional state.

【 授权许可】

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