| Use of omentum pedicled graft to protect great vessels in gastric transposition for pharyngoesophageal cancer. | |
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MedLine Citation:
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PMID: 10102349 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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>). 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. |
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Authors:
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A S Martins; H T Lage; L R Lopes; N A Brandalise |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of surgical oncology Volume: 70 ISSN: 0022-4790 ISO Abbreviation: J Surg Oncol Publication Date: 1999 Mar |
Date Detail:
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Created Date: 1999-04-20 Completed Date: 1999-04-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0222643 Medline TA: J Surg Oncol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 181-4 Citation Subset: IM |
Affiliation:
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Department of Surgery, Faculty of Medical Sciences, State University of Campinas, Unicamp, Sao Paulo, Brazil. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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