Repair using the pectoralis major muscle flap for anastomotic leakage after esophageal reconstruction via the subcutaneous route
Masaru Morita, Keisuke Ikeda, Masahiko Sugiyama, Hiroshi Saeki, Akinori Egashira, Keiji Yoshinaga, Eiji Oki, Noriaki Sadanaga, Yoshihiro Kakeji, Junichi Fukushima, Yoshihiko Maehara
20100101
2010 Feb 1
Surgery
Repair using the pectoralis major muscle flap for anastomotic leakage after esophageal reconstruction via the subcutaneous route
Surgery. 2010 Feb;147(2):212-218, Masaru Morita, Keisuke Ikeda, Masahiko Sugiyama, Hiroshi Saeki, Akinori Egashira, Keiji Yoshinaga, Eiji Oki, Noriaki Sadanaga, Yoshihiro Kakeji, Junichi Fukushima, Yoshihiko Maehara
BackgroundAnastomotic leakage with an intractable cutaneous fistula frequently develops after an esophagectomy and reconstruction via the subcutaneous route.MethodsA pectoralis major muscle (PMM) flap was used for the treatment of 6 patients with esophageal cancer who developed anastomotic leakage with fistula after reconstruction via the subcutaneous route. A gastric tube and colon had been used for reconstruction in 2 and 4 patients, respectively. A trimming and repair of the leakage site was initially...
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