The combined use of skin-lined deltopectoral cutaneous and pectoralis major-serratus anterior myoepithelial flaps to construct a total extrathoracic neoesophagus provides the surgeon with an effective, low-morbidity technique, previously unreported, which may be employed as a method for, or as an adjunct to, enterocolonogastric replacement of the thoracic esophagus. The combined myoepitheliocutaneous flaps are surgically manuevered in a novel yet elementary method that culminates in the development of a total extrathoracic neoesophagus.
Get full access to this article
View all access options for this article.
References
1.
ManningsPCJr.BeahrsOHDevineKD: Pharyngoesophagoplasty: Interposition of right colon. Arch Surg1964; 88: 939–946.
2.
McKeeDPetersC: Reconstruction of the hypopharynx and cervical esophagus with microvascular jejunal transplant. Clin Plast Surg1978; 5: 305–312.
3.
SilverCE: Gastric pull-up operation for replacement of the cervical portion of the esophagus. Surg Gynecol Obstet1976; 142: 243–245.
4.
KeyesGRTentaLT: Innovations and variations in myoepithelial flaps. Surg Ann, to be published.
