胸骨後胃管再建後の胃管壊死例における遊離空腸再建法の工夫

• 福田 千文

  城東社会保険病院外科

• 井手 博子

  浜町センタービルクリニック

• 佐藤 裕一

  城東社会保険病院外科

• 野崎 幹弘

  東京女子医科大学形成外科

• 森山 宣

  谷津保健病院外科

• 成宮 孝祐

  谷津保健病院外科

書誌事項

タイトル別名

• A NEW DEVICE OF JEJUNUM INTERPOSTION IN A CASE OF NECROSED GASTRIC TUBE AFTER RETROSTERNAL GASTRIC TUBE RECONSTRUCTION

抄録

In esophageal resections, it is generally difficult to perform reconstruction surgery for suture failure due to a wide range of necrosis of the head of gastric tube following retrosternal gastric tube reconstruction, in term of severe surgical stress for the patient. In this paper we present a new device of gastric tube reconstruction for a patient who developed a wide range of necrosis at the head of gastric tube 5 months after radical operation with retrosternal gastric tube reconstruction for esophageal cancer. The patient was a 65-year-old man whose elevated retrosternal gastric tube became a blind extremitas. The new device was to perform partial resection of the sternum at the anterior surface of healthy gastric tube, and then to implant a free jejunum between the cervical esophagus and gastric tube through the anterosternal subcutaneous route to complete reconstruction. It was successful in this case.<br> This operative procedure provides relatively less surgical stress than other procedures, and hence it is considered to be a beneficial surgical device for patients who have developed extended necrosis of a gastric tube resulting in a complete obstruction after retrosternal reconstruction.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 67 (10), 2388-2391, 2006

  日本臨床外科学会

キーワード

• 食道再建術
• 胃管壊死

詳細情報

• CRID: 1390001204846717440
• NII論文ID: 130003604746
• NII論文ID: 10018391106
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.67.2388
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/67/10/67_10_2388/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2007089576
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可