Interposición de colon transverso como alternativa de reconstrucción tras la esofagogastrectomía total

C, Rodrigo Abularach; M, Francisco Venturelli; C, Ricardo Cerda; G, Alvaro Urizar; E, Eduardo Lira; Haito, Yamile; R, Carlos Loyola; F, Carlos Matus

doi:10.4067/s0718-40262011000400019

Cited by 4 publications

(2 citation statements)

References 17 publications

(23 reference statements)

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“…Otros trabajos han estudiado la frecuencia de presentación de arteria marginal, siendo esta discontinua entre el 5% y hasta 70% de los pacientes [10][11][12] . La decisión definitiva de qué segmento a emplear depende de la preferencia y experiencia de cada equipo quirúrgico [9][10][11][12][13][14][15] .…”

Section: Discussionunclassified

Faringo-íleo-colo anastomosis con suplemento vascular microquirúrgico en reconstrucción del tracto digestivo superior

et al. 2018

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Pharyngo-ileo-colo-anastomosis with micro-vascular blood supply augmentation for surgical reconstruction of the upper digestive tract Introduction: Patients submitted to total esophagectomy and gastrectomy with complete closure of pharinx due to necrosis after caustic ingestion are a challenging surgical setting for reconstruction of upper digestive transit. Objective: The objective of this paper is to present a clinical case and surgical technique for reconstruction of the upper digestive tract after total esophagectomy and gastrectomy. Method: Reconstruction of digestive transit was reestablished by means of a pharyngo-ileo-colonic interposition with microsurgical arterial and venous anastomosis for augmentation of blood supply. Results: There were not major postoperative complications and at long term follow-up, normal oral nutrition and quality of life improvement was observed. Conclusion: This is a surgical procedure for treatment of patients with pharyngeal strictures without any possibility to indicate other less complex procedures.

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Section: Discussionunclassified

Faringo-íleo-colo anastomosis con suplemento vascular microquirúrgico en reconstrucción del tracto digestivo superior

et al. 2018

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“…Por otra parte la NCCN, publica que en los pacientes R1 sin terapia neoadyuvante se debe dar QMRDT y en los con QMT neoadyuvante administrar QMRDT o QMT adyuvante y considerar también la re-resección en pacientes con QMRDT o QMT preoperatoria 16 .…”

Section: Terapia Adyuvanteunclassified

Margen positivo (R1) en la biopsia intraoperatoria durante una gastrectomía total por cáncer gástrico

2020

Rev. Cirugia

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El cáncer gástrico es una patología de alta incidencia en Chile. Afortunadamente es baja la incidencia de márgenes R1 cuando se realiza una cirugía con intención curativa. Al tener un tumor subcardial o cardial es perentorio realizar una biopsia rápida (intraoperatoria), en caso que ésta resulte positiva, es difícil tomar una decisión sobre qué realizar a continuación, ya que el realizar una esofagoyeyunoanastomosis intratorácica aumenta el riesgo quirúrgico. Para esto, es de suma importancia tener la información de las características histopatológicas del tumor, el riesgo de filtración, la recurrencia, la sobrevida, las terapias adyuvantes y la realidad país. Se realizó una revisión de la literatura con el fin de poder guiar la toma de decisiones.

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Total esophagogastrectomy in the neoplasms of the esophagus and esofagogastric junction: when must be indicated?

Andreollo

Neto

Calomeni

et al. 2015

Rev. Col. Bras. Cir.

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Objective: to analyse the indications and results of the total esophagogastrectomy in cancers of the distal esophagus and esophagogastric junction. Methods: twenty patients with adenocarcinomas were operated with a mean age of 55 ± 9.9 years (31-70 years), and 14 cases were male (60%). Indications were 18 tumors of the distal esophagus and esophagogastric junction (90%) and two with invasion of gastric fundus (10%) in patients with previous gastrectomy. Preoperative colonoscopy to exclude colonic diseases was performed in ten cases. Results: the surgical technique consisted of median laparotomy and left cervicotomy, followed by transhiatal esophagectomy associated with D2 lymphadenectomy. The reconstructions were performed with eight esophagocoloduodenoplasty and the others were Roux-en-Y esophagocolojejunoplasty to prevent the alkaline reflux. Three cases were stage I / II, while 15 cases (85%) were stages III / IV, reflecting late diagnosis of these tumors. The operative mortality was 5 patients (25%): a mediastinitis secondary to necrosis of the transposed colon, abdominal cellulitis secondary to wound infection, severe pneumonia, an irreversible shock and sepsis associated with colojejunal fistula. Four patients died in the first year after surgery: 3 (15%) were due to tumor recurrence and 1 (5%) secondary to bronchopneumonia. The 5-year survival was 15%. Conclusion: the total esophagogastrectomy associated with esophagocoloplasty has high morbidity and mortality, requiring precise indication, and properly selected patients benefit from the surgery, with the risk-benefit acceptable, contributing to increased survival and improved quality of life

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Interposición de colon transverso como alternativa de reconstrucción tras la esofagogastrectomía total

Cited by 4 publications

References 17 publications

Faringo-íleo-colo anastomosis con suplemento vascular microquirúrgico en reconstrucción del tracto digestivo superior

Faringo-íleo-colo anastomosis con suplemento vascular microquirúrgico en reconstrucción del tracto digestivo superior

Margen positivo (R1) en la biopsia intraoperatoria durante una gastrectomía total por cáncer gástrico

Total esophagogastrectomy in the neoplasms of the esophagus and esofagogastric junction: when must be indicated?

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