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Oesophageal reconstruction with a reversed gastric conduit for a complex oesophageal cancer patient: a case report.

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机构： [1]Department of Thoracic Surgery, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Sichuan 610041 Chengdu, People’s Republic of China. [2]Chest Oncology Institute, West China Hospital, Sichuan University, Chengdu, China. [3]Western China Collaborative Innovation Centre for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu, China.

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关键词： Oesophageal reconstruction Reversed gastric conduit Oesophageal carcinoma Pylorus-preserving pancreaticoduodenectomy (PPPD) Gut physiological function

摘要：

The gastric conduit is the best replacement organ for oesophageal reconstruction, but a reversed gastric conduit (RGC) is rare. Oesophageal reconstruction for oesophageal cancer patients with a previous history of complicated gastrointestinal surgery is rather difficult. Here, we report a case in which oesophageal reconstruction was successfully managed using RGC based solely on the left gastroepiploic artery supply.A 69-year-old man with oesophageal cancer had a history of endoscopic intestinal polypectomy and pylorus-preserving pancreaticoduodenectomy (PPPD). The right gastroepiploic artery and right gastric artery had been completely severed. The only supply artery that could be used for the gastric conduit was just the left gastroepiploic artery. Because of the complex history of abdominal surgery, we had no choice but to use the RGC to complete the oesophageal reconstruction, in which the gastric conduit was passed reversely through the hiatus to the oesophageal bed and layered end-to-side manual intrathoracic anastomosis with the esophagus. The patient had transient feeding problems with postoperative delayed thoracic stomach emptying but no anastomotic stenosis or thoracic stomach fistula. He was satisfied with his life and had no long-term complications. There was no significant effect on gut physiological function, and RGC could work normally.Oesophageal reconstruction with RGC is a feasible procedure for complex oesophageal carcinoma that can simplify complicated surgical procedures, has less influence on gut function, is less invasive, and is safe.© 2022. The Author(s).

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出版当年[2022]版：

大类 | 4 区医学

小类 | 4 区外科

最新[2023]版：

大类 | 3 区医学

小类 | 3 区外科

第一作者：

第一作者机构： [1]Department of Thoracic Surgery, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Sichuan 610041 Chengdu, People’s Republic of China. [2]Chest Oncology Institute, West China Hospital, Sichuan University, Chengdu, China. [3]Western China Collaborative Innovation Centre for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu, China.

通讯作者：

通讯机构： [1]Department of Thoracic Surgery, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Sichuan 610041 Chengdu, People’s Republic of China. [2]Chest Oncology Institute, West China Hospital, Sichuan University, Chengdu, China. [3]Western China Collaborative Innovation Centre for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu, China.

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Oesophageal reconstruction with a reversed gastric conduit for a complex oesophageal cancer patient: a case report.

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