Importance of additional microvascular anastomosis in esophageal reconstruction after salvage esophagectomy.


:Esophageal reconstruction after salvage esophagectomy in patients who have undergone curative-intent chemoradiotherapy for esophageal cancer is associated with a significant risk of perioperative morbidity and mortality. In particular, anastomotic leakage can cause severe and potentially fatal complications, including mediastinitis and pneumonia. The authors performed esophageal reconstruction with a pedicled right colon graft after salvage esophagectomy in eight patients. To decrease the rate of anastomotic leakage, the authors performed an additional microvascular anastomosis at the distal end of the graft. The distal stumps of the ileocolic artery and vein were anastomosed to the cervical vessels. After surgery, aspiration pneumonia and localized wound infection were observed in two patients each, but slight anastomotic leakage was observed in only one patient. Postoperative swallowing function was satisfactory in all patients. Although the incidence of anastomotic leakage is reportedly high, the authors observed anastomotic leakage in only one of eight patients. The authors believe that additional microvascular anastomosis helps prevent anastomotic leakage, especially in patients who have undergone salvage esophagectomy after curative chemoradiotherapy.


Plast Reconstr Surg


Sakuraba M,Kimata Y,Hishinuma S,Nishimura M,Gotohda N,Ebihara S




Has Abstract


2004-06-01 00:00:00












  • Adhesion of tissue-engineered cartilate to native cartilage.

    abstract::Reconstruction of cartilaginous defects to correct both craniofacial deformities and joint surface irregularities remains a challenging and controversial clinical problem. It has been shown that tissue-engineered cartilage can be produced in a nude mouse model. Before tissue-engineered cartilage is used clinically to ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Silverman RP,Bonasser L,Passaretti D,Randolph MA,Yaremchuk MJ

    更新日期:2000-04-01 00:00:00

  • Contrast-enhanced ultrasound combined with three-dimensional reconstruction in preoperative perforator flap planning.

    abstract:BACKGROUND:Along with technical advancements in perforator flap surgery, great interest has been recently focused on the accuracy of preoperative perforator location through the assessment of the donor-site vascular network. The goal of the present study was to investigate the usefulness of contrast-enhanced ultrasound...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Su W,Lu L,Lazzeri D,Zhang YX,Wang D,Innocenti M,Qian Y,Agostini T,Levin LS,Messmer C

    更新日期:2013-01-01 00:00:00

  • Mitochondrial activity of orbicularis oris muscle in unilateral cleft lip patients.

    abstract::To better evaluate the role of a possible mitochondrial alteration in the pathogenesis of cleft lip, we obtained and examined 38 orbicularis oris muscle specimens taken from the cleft margin of both cleft and noncleft sides of 10 unilateral cleft lip infants at the time of primary closure. Part of each sample was froz...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Raposio E,Bado M,Verrina G,Santi P

    更新日期:1998-09-01 00:00:00

  • Effects of 8-Gy radiation on the microcirculation of muscle flaps in the rat.

    abstract::Combination of radical excision and radiation has been used as a treatment modality for cancer patients. As a result, in reconstructive surgery there is often a need to harvest flaps in the vicinity of previously irradiated tissues. Radiation has been shown to cause progressive injury to the macrocirculation and micro...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Siemionow M,Mee J,Porvasnik S,Krapohl BD,Ozer K,Piza P,Zins JE

    更新日期:1999-10-01 00:00:00

  • Silicone Implant Illness: Science versus Myth?

    abstract::The purpose of this Special Topic article is to present the current state of scientific evidence related to the safety of silicone breast implants. There is presently overwhelming evidence to support the safety of silicone breast implants. Ultimately, the decision to obtain, keep, or remove breast implants is the choi...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Rohrich RJ,Kaplan J,Dayan E

    更新日期:2019-07-01 00:00:00

  • Postoperative antibiotic prophylaxis for implant-based breast reconstruction with acellular dermal matrix.

    abstract:BACKGROUND:The use of acellular dermal matrix in implant-based breast reconstruction has been described for improving inferolateral prosthesis coverage and support and inframammary fold reconstruction. Recommended guidelines for infection prophylaxis are the same as for any clean procedure-antibiotic administration onl...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Avashia YJ,Mohan R,Berhane C,Oeltjen JC

    更新日期:2013-03-01 00:00:00

  • Dermabrasion using an ultrasonic surgical aspirator.

    abstract::We used an ultrasonic surgical aspirator on the epidermal surface to perform dermabrasion instead of the conventional motor-driven grinder. It was determined on histologic examination that it is possible to fragment the epidermis with greater selectively using the ultrasonic surgical aspirator. Abrasion also can be pe...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Ito Y,Kondo S,Sumiya N,Yoshii M,Otani K,Wako M

    更新日期:1996-04-01 00:00:00

  • Browpexy: lateral orbicularis muscle fixation as an adjunct to upper blepharoplasty.

    abstract::Lateral ptosis of the eyebrow is a major part of the complex changes that patients are seeking to improve with an upper blepharoplasty. Two hundred and eight patients have undergone a browpexy procedure at the time of blepharoplasty. This operative maneuver, which is performed through the blepharoplasty incision, prev...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Zarem HA,Resnick JI,Carr RM,Wootton DG

    更新日期:1997-10-01 00:00:00

  • Cranial fasciitis of childhood.

    abstract::Cranial fasciitis of childhood is a benign lesion occurring superficial to or involving the cranial bones of children at a median age of 18 months, with a male sex predilection of 2:1. It is histologically described as a well-circumscribed, loose proliferation of stellate to spindle-shaped fibroblasts in a myxoid back...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Coates DB,Faught P,Sadove AM

    更新日期:1990-04-01 00:00:00

  • A fresh cadaveric study of the paratubal muscles: implications for eustachian tube function in cleft palate.

    abstract::The aims of this anatomic investigation were to examine the levator veli palatini, tensor veli palatini, and salpingopharyngeus muscles in relation to normal eustachian tube function and to analyze the clinical implications of these data for tubal physiology in cleft palate individuals. Detailed dissections under 3.2x...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Huang MH,Lee ST,Rajendran K

    更新日期:1997-09-01 00:00:00

  • Salvage of proximal humeral amputations with a remnant forearm flap.

    abstract::Spare-part surgery of upper extremity avulsions may facilitate primary soft-tissue healing and prosthetic rehabilitation. This procedure also may be applicable to the management of analogous proximal lower extremity avulsions where a short femoral stump and a shortage of soft tissue exist. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Mixter RC,Rao VK,De Angelis A,Donald CE

    更新日期:1991-05-01 00:00:00

  • Bibliometric indices and academic promotion within plastic surgery.

    abstract:BACKGROUND:Bibliometric indices are proposed measures to quantitatively and qualitatively evaluate scholarly output within academic medicine. The authors sought to validate bibliometric indices as an indicator of academic productivity within plastic surgery and their association with promotion of faculty surgeons in ac...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Gast KM,Kuzon WM Jr,Waljee JF

    更新日期:2014-11-01 00:00:00

  • Surgical treatment of migraine headaches by corrugator muscle resection.

    abstract::The authors, a plastic surgeon (Dirnberger) and a neurologist (Becker), conducted this study after reading the article by of Bahman Guyuron et al. in the August 2000 issue of Plastic and Reconstructive Surgery (106: 429, 2000). Sixty patients were operated on between June of 2001 and June of 2002; postoperative follow...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Dirnberger F,Becker K

    更新日期:2004-09-01 00:00:00

  • The treatment of periorbital infantile hemangioma with intralesional corticosteroid.

    abstract::A series of 25 patients with periorbital hemangiomas was treated with intralesional corticosteroid injection. This resulted in a marked involution of the tumor in 16 patients, a moderate involution in 5 patients, and a minimal response in 4. No local or systemic complications were noted. The overall incidence of ocula...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kushner BJ

    更新日期:1985-10-01 00:00:00

  • Needle aspiration and pressure sutures for auricular pseudocyst.

    abstract::Auricular pseudocyst is an asymptomatic cystic swelling of the upper portion of the auricle. Various therapeutic approaches have been employed with variable success. We report our results with nine patients treated by needle aspiration and bolstered pressure sutures applied over both aspects of the cyst for 1 week. Tr...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Ophir D,Marshak G

    更新日期:1991-04-01 00:00:00

  • Patterns of vascular anastomoses vs. success of free groin flap transfers.

    abstract::A series of 40 free groin flap transfers is reviewed and analyzed with regard to the factors influencing success or failure. Emphasis is placed on the patterns of venous anastomosis used, and the use of autogenous vein grafts in the arterial limb. The series was too small to establish that any one of the 4 types of ve...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Goodstein WA,Buncke HJ Jr

    更新日期:1979-07-01 00:00:00

  • What's New in Syndromic Craniosynostosis Surgery?

    abstract:LEARNING OBJECTIVES:After studying this article, the participant should be able to: 1. Understand the role of prenatal screening and counseling of parents of unborn children with syndromic craniosynostosis. 2. Recognize the genetic abnormalities, craniofacial phenotype, associated anomalies, and challenges associated w...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Taylor JA,Bartlett SP

    更新日期:2017-07-01 00:00:00

  • Three-dimensional folded free-flap reconstruction of complex facial defects using intraoperative modeling.

    abstract::Free-tissue transfer has emerged as the ideal way of reconstructing complex facial defects. Multifaceted free flaps are often needed, and we have developed a simple technique to determine both the volume of tissue required and the localization of the various epithelial surfaces, thereby simplifying these complex recon...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Pribaz JJ,Morris DJ,Mulliken JB

    更新日期:1994-02-01 00:00:00

  • Mammaplasty-associated mycobacterial infection: a survey of plastic surgeons.

    abstract::In a 3 1/2-year period, periprosthetic infections due to Mycobacterium fortuitum complex organisms complicated augmentation mammaplasty in at least 17 women. To determine the magnitude of the problem and to identify possible risk factors for infection, we conducted a questionnaire survey of 2062 members of the America...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Clegg HW,Bertagnoll P,Hightower AW,Baine WB

    更新日期:1983-08-01 00:00:00

  • Management of soft-tissue complications of the lateral approach for calcaneal fractures.

    abstract:BACKGROUND:Soft-tissue complications after using the lateral approach for internal fixation of calcaneal fractures are relatively frequent, even in skilled hands. The global management of these wounds has never been standardized. METHODS:The authors present a series of 24 patients with wound edge necrosis of lateral a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Cavadas PC,Landin L

    更新日期:2007-08-01 00:00:00

  • Congenital adactylia.

    abstract::Congenital adactylia is rare. Its precise embryogenesis is enigmatic. The adactylic hand assumes a helper function. Surgical reconstruction is an option. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Skoff HD

    更新日期:1994-10-01 00:00:00

  • The face as a sensory organ.

    abstract:BACKGROUND:The human face is a highly specialized organ for receiving the sensory information from the environment and for its transmission to the cortex. The advent of facial transplantation has shown that excellent reconstruction of disfiguring defects can be achieved; thus, the expectations are now focused on functi...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Siemionow M,Gharb BB,Rampazzo A

    更新日期:2011-02-01 00:00:00

  • The effect of preoperative angiography on experimental free-flap survival.

    abstract::In a rat model designed to simulate clinical angiography, preoperative angiography had no effect on free-flap survival. Only when a large dose of RCM was delivered directly into a surgically isolated circulation did significant free-flap loss ensue. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Yaremchuk MJ,Bartlett SP,Sedacca T,May JW Jr

    更新日期:1981-08-01 00:00:00

  • New method of preparing a pectoralis major myocutaneous flap with a skin paddle that includes the third intercostal perforating branch of the internal thoracic artery.

    abstract:BACKGROUND:Although the use of free flaps has become a major option for head and neck reconstruction, the pectoralis major myocutaneous flap still plays an important role because of its advantages and its convenience as a pedicle flap located adjacent to head and neck lesions. However, there remain two problems with th...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Rikimaru H,Kiyokawa K,Watanabe K,Koga N,Nishi Y,Sakamoto A

    更新日期:2009-04-01 00:00:00

  • Accompanying arteries of the lesser saphenous vein and sural nerve: anatomic study and its clinical applications.

    abstract::The arteries adjacent to the lesser saphenous vein and sural nerve were investigated in 10 fresh cadavers that had been systemically injected with a lead oxide-gelatin mixture. The accompanying arteries were found to lie along the lesser saphenous vein and sural nerve and to nourish the skin through venocutaneous and ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Nakajima H,Imanishi N,Fukuzumi S,Minabe T,Fukui Y,Miyasaka T,Kodama T,Aiso S,Fujino T

    更新日期:1999-01-01 00:00:00

  • Incidence of cervical branch injury with "marginal mandibular nerve pseudo-paralysis" in patients undergoing face lift.

    abstract::The anatomy of the cervical and marginal mandibular branches of the facial nerve is reviewed. In the senior author's practice, "pseudoparalysis of the marginal mandibular nerve" due to cervical branch injury occurred in 34 of 2002 superficial musculoaponeurotic system-platysma face lifts (1.7 percent) and was associat...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Daane SP,Owsley JQ

    更新日期:2003-06-01 00:00:00

  • Promoting primary healing after ray amputations in the diabetic foot: the plantar dermo-fat pad flap.

    abstract:BACKGROUND:Amputation of the toe at the level of the distal metatarsal head (ray amputation) is a common surgical procedure in diabetic foot ulcers. The aim of this study was to introduce a new technique promoting primary healing by minimizing the dead space with the plantar dermo-fat pad flap after central ray amputat...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Altindas M,Cinar C

    更新日期:2005-09-15 00:00:00

  • Clinical and Quantitative Isokinetic Comparison of Abdominal Morbidity and Dynamics following DIEP versus Muscle-Sparing Free TRAM Flap Breast Reconstruction.

    abstract:BACKGROUND:The deep inferior epigastric perforator (DIEP) flap, which is a modification of the muscle-sparing free transverse rectus abdominis musculocutaneous (TRAM) flap, is being more frequently used in an effort to reduce postoperative abdominal morbidity. However, there is no consensus as to which of these flaps i...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Uda H,Kamochi H,Sarukawa S,Sunaga A,Sugawara Y,Yoshimura K

    更新日期:2017-12-01 00:00:00

  • Autologous lipofilling: coenzyme Q10 can rescue adipocytes from stress-induced apoptotic death.

    abstract:BACKGROUND:Autologous fat transplantation (or lipofilling) is an excellent technique for correction of cosmetic defects. The success of the procedure relies strongly on the techniques of harvesting and transferring viable adipocytes. The purpose of this study was to evaluate effects of two harvesting methods and coenzy...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Witort EJ,Pattarino J,Papucci L,Schiavone N,Donnini M,Lapucci A,Lulli M,Lo Russo G,Mori A,Dini M,Capaccioli S

    更新日期:2007-04-01 00:00:00

  • The constricted (cup and lop) ear.

    abstract::The author classifies ear deformities into 3 major groups and two sub-groups. The surgical procedures used to correct the deformity in each group are described. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Tanzer RC

    更新日期:1975-04-01 00:00:00