Rotational pectoral musculocutaneous flap for the repair of gastric conduit necrosis in cervical esophagogastrostomy
김재준, 박재길, 황선진, 문석환,
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김재준 ( Kim Jae-Jun )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Thoracic and Cardiovascular Surgery
박재길 ( Park Jae-Kil )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Thoracic and Cardiovascular Surgery
황선진 ( Hwang Sun-Jin )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Thoracic and Cardiovascular Surgery
문석환 ( Moon Seok-Whan )
Catholic University College of Medicine St. Paul’s Hospital Department of Thoracic and Cardiovascular Surgery
KMID : 0371320120830060393
Abstract
We experienced a case of wide necrosis of the cervical gastric conduit during esophageal cancer surgery. We attempted to repair this defect with various methods including conservative care, stents two times, and sternocleidomastoid muscle flap without successful results. Finally, we were able to reconstruct the gastric conduit defect with rotational pectoralis major musculocutaneous (PMM) flap. PMM flap is thought to be a reconstruction method applicable to the intractable gastric conduit defect.
키워드
Esophageal cancer; Gastric conduit necrosis; Pectoralis musculocutaneous flap
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