ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kuwabara, Y.
Right arrow Articles by Fujii, Y.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kuwabara, Y.
Right arrow Articles by Fujii, Y.
Related Collections
Right arrow Trachea and bronchi
Right arrowRelated Article

Ann Thorac Surg 2001;71:409-413
© 2001 The Society of Thoracic Surgeons

Original article: general thoracic

Use of omentum for mediastinal tracheostomy after total laryngoesophagectomy

Yoshiyuki Kuwabara, MDa, Atsushi Sato, MDa, Masami Mitani, MDa, Noriyuki Shinoda, MDa, Koji Hattori, MDa, Tomotaka Suzuki, MDa, Yoshitaka Fujii, MDa

a Department of Surgery II, Nagoya City University Medical School, Nagoya, Japan

Accepted for publication August 1, 2000.

Address reprint requests to Dr Kuwabara, Department of Surgery II, Nagoya City University Medical School, 1, Kawasumi, Mizuho, Nagoya, 467-8601, Japan
e-mail: y.kuwa{at}med.nagoya-cu.ac.jp

Background. Carcinomas of the cervicothoracic esophagus frequently invade the trachea and complete removal of the tumor often requires mediastinal tracheostomy. Traditionally, this surgical management was associated with high morbidity and mortality. Several types of myoctaneous flaps have been used for mediastinal tracheostomy to reduce the complication. We present our experience with a new technique for construction of mediastinal tracheotomy after total laryngoesophagectomy and reconstruction with the stomach.

Methods. The anterior chest wall was amply resected and the distal end of the trachea was placed low between the superior vena cava and aortic arch. We mobilized the entire omentum with the stomach and brought them up to the neck through the posterior mediastinum. The omentum was put around the trachea, main arteries, and the anastomosis.

Results. Seven mediastinal tracheostomies were performed using this method. There was no hospital death. Complications included respiratory failure (2 patients) and pyothorax (1 patient). Anastomotic leakage and inominate artery rupture were not experienced. Postoperative survival was disease dependent. All patients were discharged with satisfactory oral food intake, good airway condition, and excellent cosmetic appearance.

Conclusions. We suggest the use of the omentum as a simple and reliable technique in constructing mediastinal tracheostomy following total laryngoesophagectomy for cervicothoracic esophageal cancer.


Related Article

Invited commentary
Douglas J. Mathisen
Ann. Thorac. Surg. 2001 71: 413. [Extract] [Full Text] [PDF]





HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2001 by The Society of Thoracic Surgeons.