Document Detail


Use of omentum pedicled graft to protect great vessels in gastric transposition for pharyngoesophageal cancer.
MedLine Citation:
PMID:  10102349     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND OBJECTIVES: Transmediastinal gastric transposition and pharyngogastric anastomosis is perhaps one of the most widely accepted methods for restoration of the alimentary continuity after pharyngoesophageal resection. The need of neck dissection, mediastinal tracheostomy, and previous radiotherapy may favor exposure and rupture of major vessels. Protection with omentum may prevent this complication. A comprehensive review of omentum flap use in surgery was undertaken. METHODS: A modified omentum pedicled flap was used in 6 out of 36 patients submitted to total pharyngolaryngoesophagectomy and gastric transposition (PLE&GT). RESULTS: None of the patients had major vessel rupture as compared with a 13% carotid and innominate artery rupture of a series of 30 patients previously operated on without omentum pedicled flap protection. CONCLUSIONS: The omental pedicled flap, performed as described, may provide reliable protection for carotid and innominate artery exposure, adding little time to the procedure.
Authors:
A S Martins; H T Lage; L R Lopes; N A Brandalise
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of surgical oncology     Volume:  70     ISSN:  0022-4790     ISO Abbreviation:  J Surg Oncol     Publication Date:  1999 Mar 
Date Detail:
Created Date:  1999-04-20     Completed Date:  1999-04-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0222643     Medline TA:  J Surg Oncol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  181-4     Citation Subset:  IM    
Affiliation:
Department of Surgery, Faculty of Medical Sciences, State University of Campinas, Unicamp, Sao Paulo, Brazil.
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MeSH Terms
Descriptor/Qualifier:
Brachiocephalic Trunk
Carotid Arteries
Digestive System Surgical Procedures / methods*
Esophageal Neoplasms / surgery*
Esophagectomy
Humans
Laryngectomy
Omentum / transplantation*
Pharyngeal Neoplasms / surgery*
Pharyngectomy
Stomach / surgery*
Surgical Flaps

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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