Abstract:
:When the stomach is unavailable for esophageal reconstruction due to previous gastrectomy or synchronous gastric cancer, a pedicled jejunum or colon, with or without vascular supercharge, has been the alternative. However, these reconstructions are not free from severe complications, such as necrosis. We have introduced a new surgical technique for delayed esophageal reconstruction using a free jejunal flap. We used this technique in 11 patients. Four weeks after subtotal esophagectomy, reconstruction using free jejunal flaps was performed. A free jejunum was placed at the pre-sternum, and the internal thoracic artery and vein were usually used as the recipient vessels. There were no cases of flap necrosis and no hospital deaths. Anastomotic leakage occurred in two cases. Both leakages were cured by conservative treatment. Delayed esophageal reconstruction using a free jejunal flap can be considered to be a safe procedure when the stomach is unavailable as an esophageal substitute.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Okumura Y,Mori K,Yamagata Y,Fukuda T,Wada I,Shimizu N,Nomura S,Iida T,Mihara M,Seto Ydoi
10.1007/s00595-013-0797-9subject
Has Abstractpub_date
2014-02-01 00:00:00pages
395-8issue
2eissn
0941-1291issn
1436-2813journal_volume
44pub_type
杂志文章相关文献
SURGERY TODAY文献大全abstract::Following the usual sleeve or window resection of the trachea, reconstruction of the trachea can be carried out without difficulty in patients with aggressive thyroid cancer. When the cancer recurs locally in those patients, reoperation often yields a large tracheal defect, for which a commercially available tracheost...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00326131
更新日期:1992-01-01 00:00:00
abstract::We report herein the case of a 52-year-old man for whom a split pectoralis major myocutaneous flap was applied at the time of extended radical surgery for esophageal carcinoma with tracheal involvement, to avoid the postoperative complications of anterior tracheostomy such as tracheal necrosis and rupture of the major...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF01884577
更新日期:1994-01-01 00:00:00
abstract:PURPOSE:The anatomical site of resected lobes may influence postoperative cerebral infarction. The objective of the current study was to determine if left upper pulmonary lobectomy is a risk factor for postoperative cerebral infarction. METHODS:This was a retrospective case-control study in patients undergoing pulmona...
journal_title:Surgery today
pub_type: 杂志文章,多中心研究
doi:10.1007/s00595-020-02032-4
更新日期:2020-11-01 00:00:00
abstract::We report a case of recurrent thrombocytopenia associated with symptomatic enlargement of an accessory spleen, 2 years after splenectomy, in a 36-year-old man with posthepatitic liver cirrhosis. The patient suffered three episodes of variceal bleeding, but the esophageal varices were not eradicated by two sessions of ...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-004-2837-y
更新日期:2004-01-01 00:00:00
abstract:PURPOSES:The purpose of this study was to retrospectively analyze the complications arising from stapling of the pulmonary parenchyma and to determine the most appropriate cartridges to use for pulmonary stapling. METHODS:A retrospective multi-institutional review was conducted by the Central Japan Lung Cancer Surgery...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-015-1291-3
更新日期:2016-10-01 00:00:00
abstract::To elucidate the mechanism of enhancing survival in peritonitis rats treated with lentinan, a fully purified beta-1,3-glucan, we measured the active oxygen-producing ability of polymorphonuclear leukocytes (PMNs). Four groups of rats (group I, fecal peritonitis control; II, rats receiving 3 mg/kg lentinan intraperiton...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311908
更新日期:1993-01-01 00:00:00
abstract:PURPOSE:We developed a technique of jejunal pouch interposition with a fundic-like jejunal plication (JPI-FP) for reconstruction after total gastrectomy (TG) for gastric cancer. The aim of this study was to investigate the advantages of JPI-FP over Roux-en-Y reconstruction (R-Y). METHODS:Twenty-two patients who had un...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-005-3008-5
更新日期:2005-01-01 00:00:00
abstract:PURPOSE:Laparoscopic sleeve gastrectomy (SG) has gained popularity and acceptance among bariatric surgeons, mainly due its low morbidity and mortality. The purpose of the present study was to evaluate the efficacy of SG on weight loss, and to determine the postoperative course, clinical presentation and treatment of co...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-013-0688-0
更新日期:2014-07-01 00:00:00
abstract::A 76-year-old man was admitted to our hospital for investigation of an apparent abdominal aortic aneurysm detected during treatment for epididymitis. A chest X-ray showed miliary shadows in the bilateral lung fields strongly suggestive of tuberculosis. The diameter of the aneurysm increased, and examinations showed im...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-005-3055-y
更新日期:2005-01-01 00:00:00
abstract::The surgical treatment of adenocarcinoma of the gastroesophageal junction (GEJ) is complex. A large tumor involving a substantial portion of both the esophagus and stomach requires complete resection with negative proximal and distal margins as well as D2 lymph node dissection. Some investigators have found that patie...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-010-4412-z
更新日期:2011-09-01 00:00:00
abstract::We report herein the rare case of a 56-year-old man who gradually developed congestive cardiac failure 6 months after undergoing coronary artery bypass grafting and was found to have a fistula between the internal mammary artery and the pulmonary artery of the upper lobe diagnosed by selective left internal mammary ar...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311829
更新日期:1995-01-01 00:00:00
abstract::The effect of gastrectomy on the subsequent development of esophageal cancer was investigated, focusing on its multicentric occurrence. We retrospectively evaluated 28 patients who underwent subtotal esophagectomy for intrathoracic esophageal cancer between 1985 and 1999. They were divided into two groups according to...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950170067
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:Fulminant myocarditis is potentially fatal because it progresses rapidly into cardiogenic shock; thus, immediate and appropriate treatment is essential. Mechanical circulatory support (MCS) is an important part of treatment for fulminant myocarditis. We review our experience of treating fulminant myocarditis wi...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-007-3724-0
更新日期:2008-01-01 00:00:00
abstract::Mediastinal cysts account for about 19% of all mediastinal masses, and thymic cysts represent only about 1.5% of anterior mediastinal masses. Thymic cysts do not usually cause symptoms and are often found incidentally on routine chest radiography. We report the case of a thymic cyst that hemorrhaged into the mediastin...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-009-4136-0
更新日期:2010-10-01 00:00:00
abstract::We report herein the case of a 72-year-old man in whom a nonanastomotic pseudoaneurysm arose from a reinforced ringed expanded polytetrafluoroethylene (EPTFE) graft (Gore-Tex, Flagstaff, AZ, USA) following an axillobifemoral bypass. The pseudoaneurysm developed 2 years after graft insertion and induced graft thrombosi...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311801
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:To evaluate the newly developed continuous suture technique in dunking pancreatojejunostomy without pancreatic duct stenting after pancreatoduodenectomy (PD). METHODS:Thirty-four consecutive pancreaticojejunostomies (patient age 73 ± 11, 41-88) with continuous sutures without stenting after PD were performed f...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-012-0363-x
更新日期:2013-09-01 00:00:00
abstract:PURPOSE:This study was performed to investigate the effect of subcuticular sutures on the incidence of incisional surgical site infection (SSI) after closure of a diverting stoma. METHODS:The study was carried out as a retrospective analysis of prospectively collected data from 51 patients who underwent closure of div...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-010-4405-y
更新日期:2011-07-01 00:00:00
abstract:PURPOSE:The transinguinal preperitoneal approach is a relatively new technique for inguinal hernia repair. Two types of memory-ring mesh are available in Japan: the modified Kugel patch (MK) and the Polysoft patch (PP). We tested the hypothesis that the PP is noninferior to the MK with respect to chronic postoperative ...
journal_title:Surgery today
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00595-015-1228-x
更新日期:2016-06-01 00:00:00
abstract::It is well known that surgical intervention on the stomach will greatly alter gastric function and gastric emptying. In this study, we evaluated the difference in postoperative gastric remnant emptying following pylorus-preserving gastrectomy (PPG) and conventional subtotal gastrectomy (CDG) using sulfamethizole capsu...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950050094
更新日期:1998-01-01 00:00:00
abstract::Achieving complete dissection of the lymph nodes located at the roots of the left gastroepiploic vessels is difficult when distal gastrectomy is the surgical goal; firstly, because the short gastric vessels must be preserved to supply blood to the remnant stomach; and also, because the roots of the left gastroepiploic...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950050320
更新日期:1998-01-01 00:00:00
abstract::We report herein the case of a 75-year-old man who developed severe tetanus 24 h after the resection of a gangrenous perforated small intestine. It seemed that the tetanus was caused by a spillage of the intestinal contents harboring Clostridium tetani; however, this was not identified by a culture. The diagnosis of t...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02482988
更新日期:1999-01-01 00:00:00
abstract:PURPOSE:The morbidity and mortality associated with lung cancer surgery in patients on chronic hemodialysis (CHD) is high; however, the relationship between the severity of postoperative complications and clinicopathological features is unclear. METHODS:Among 1214 consecutive patients who underwent pulmonary resection...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-019-1773-9
更新日期:2019-06-01 00:00:00
abstract:PURPOSE:An incisional surgical site infection (I-SSI) is a frequently observed complication following colorectal surgery. Intraoperative wound management is one of the most important factors that determine the incidence of postoperative I-SSI. The purpose of this study was to assess the impact of the methods used for i...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-013-0677-3
更新日期:2014-07-01 00:00:00
abstract::There are few published reports on endovascular stent grafting for thoracic aneurysms in Jehovah's Witnesses. Between 2001 and 2003, we performed endovascular stent grafting for a thoracic aneurysm in three patients of the Jehovah's Witness faith. Two patients had a thoracic aortic aneurysm and one had a chronic type-...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2921-3
更新日期:2005-01-01 00:00:00
abstract::Parkinson's disease is a chronic progressive disease with symptoms of tremors, rigidity, and akinesia. Parkinson's disease is a major risk factor for postoperative complications and it is difficult to manage patients with Parkinson's disease after gastrointestinal surgery. This report presents the cases of three patie...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-008-3938-9
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:We reviewed the literature regarding the specific methods and strategies for implementing simulation-based training into the modern surgical residency curriculum. Residency programs are still struggling with how best to implement it into their curricula from a practical viewpoint. METHODS:A systematic review w...
journal_title:Surgery today
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00595-016-1455-9
更新日期:2017-07-01 00:00:00
abstract:PURPOSE:Quickly differentiating patients who need emergency salvage operation for caustic ingestion injury from those who do not remains difficult. We thus conducted a retrospective study to assess whether arterial blood gas (ABG) analysis is helpful for deciding on the best management plan. METHODS:We divided 129 pat...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s10595-002-2523-y
更新日期:2003-01-01 00:00:00
abstract:PURPOSE:We evaluated the clinical findings of patients with second primary digestive cancers (SPDC) after the resection of lung cancer. METHODS:Among 772 patients who underwent resection of primary lung cancer at Saitama Cardiovascular and Respiratory Center between 1993 and 2002, 10 (1.3%) were diagnosed with SPDC du...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2762-0
更新日期:2004-01-01 00:00:00
abstract::A 2 1/2-year-old girl underwent a living-related liver transplantation for biliary atresia, following which four percutaneous liver biopsies were performed uneventfully during her hospital stay for the evaluation of recurrent rejection. Her condition improved without any complications, and she was discharged from hosp...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311759
更新日期:1995-01-01 00:00:00
abstract::Ghrelin was discovered as an intrinsic ligand for the growth hormone (GH)-secretagogue receptor (GHS-R) in 1999. The endogenous production of ghrelin occurs mainly in the stomach. Ghrelin has multiple functions; it has orexigenic action, stimulates GH secretion, has anti-inflammatory activities, stimulates gastrointes...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-014-1040-z
更新日期:2015-07-01 00:00:00