Use of omentum pedicled graft to protect great vessels in gastric transposition for pharyngoesophageal cancer

Martins, Alessandro F.; Lage, Henriette T.; Lopes, Luis Roberto; Brandalise, Nelson Ary

doi:10.1002/(sici)1096-9098(199903)70:3<181::aid-jso7>3.0.co;2-e

Cited by 9 publications

(3 citation statements)

References 30 publications

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“…In mobilizing the stomach, we have modi ed the technique of omentum preservation to protect the great vessels. 28 The minimum and imperative tracheal length permitted in such cases was 5 cm of normal remnant trachea. Another concept that evolved from our experience is that there was a need for mediastinal node dissection, more so in patients with cervical oesophageal carcinomas.…”

Section: Methodsmentioning

confidence: 99%

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Gastric transposition for pharyngolaryngo-oesophageal cancer: the Unicamp experience

Martins

2000

J. Laryngol. Otol.

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Carcinomas of the pharyngo-oesophageal junction continue to be a challenge to head and neck surgeons. We report a series of 30 patients who underwent gastric transposition for advanced pharyngo-oesophageal tumours, with personal insights about the surgical technique and the need for neck and mediastinal node dissection. The median hospital stay was 21.6 days, with resumption of oral feedings around the 16th day in 91.7 per cent of the surgical survivors. Ten patients had multiple primary tumours (33.3 per cent), with 20 per cent of synchronous carcinomas. Serious local and systemic complications occurred in 17 patients (56.7 per cent), the most important being tracheal complications, cervical and systemic infections, fistulas, rupture of major vessels and pulmonary embolus. Post-operative deaths occurred in 20 per cent of the patients. The locoregional control of disease was significant (only 14.2 per cent of deaths from regional recurrence) but 64.2 per cent of the patients died from distant metastasis. Survival without disease was 13.3 per cent at five years. Gastric transposition was judged to be the procedure of choice for palliation or occasional cure in patients with pharyngo-oesophageal tumours.

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Section: Methodsmentioning

confidence: 99%

“…12 The use of omentum pedicled ap reduces this complication. 28 All post-operative deaths occurred in patients with multiple associated complications or factors, especially infection ( ve cases), malnutrition ( ve cases) and previous radiotherapy (four cases). One case of carotid artery rupture was secondary to pharyngocutaneous stula.…”

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confidence: 99%

Gastric transposition for pharyngolaryngo-oesophageal cancer: the Unicamp experience

Martins

2000

J. Laryngol. Otol.

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“…During this rarely performed procedure – usually indicated for advanced neck cancers, OP has been reported to prevent vascular erosion with fatal bleeding. Most series include a small number of patients with no comparison between OP versus pectoralis muscle flap [40, 41].…”

Section: Reviewmentioning

confidence: 99%

Current indications for the intrathoracic transposition of the omentum

Botianu

2019

J Cardiothorac Surg

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Background The intrathoracic transposition of the omentum (ITO) has been reported with more or less good results in various clinical circumstances but with no clear guidelines or indications. Methodology and review This article reviews the main clinical situations in which omento-plasty (OP) may be taken into consideration by the thoracic surgeons: mediastinitis and deep sternal infections after median sternotomy, reinforcement of the eso-gastric anastomosis after esophagectomy, prevention and treatment of the bronchial fistula after pulmonary resection, space-filling procedures for empyema, mediastinal tracheostomy, management of the infected intrathoracic vascular grafts / ventricular assist devices and heart OP. For each clinical situation we have performed a literature review with analysis of the most relevant published papers searching for an evidence-based approach for the use of the ITO/OP in thoracic surgery. Conclusions OP may be an elegant solution for a wide range of problems in thoracic surgery. In the published literature, there are mainly case-reports and relatively small series published resulting in a low level of evidence for both ITO as a surgical technique by itself, as well as for the use of OP in various clinical situations involving the chest structures. The indications for its use in thoracic surgery are based more on common sense and the lack of other solutions.

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Omentoplasty for esophagogastrostomy after esophagectomy

Yuan

Zeng

et al. 2012

Cochrane Database of Systematic Reviews

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Use of omentum pedicled graft to protect great vessels in gastric transposition for pharyngoesophageal cancer

Cited by 9 publications

References 30 publications

Gastric transposition for pharyngolaryngo-oesophageal cancer: the Unicamp experience

Gastric transposition for pharyngolaryngo-oesophageal cancer: the Unicamp experience

Current indications for the intrathoracic transposition of the omentum

Omentoplasty for esophagogastrostomy after esophagectomy

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