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Ann Thorac Surg 2001;72:267-270
© 2001 The Society of Thoracic Surgeons

Case report

Total esophageal reconstruction using a tubed parascapular free flap

Richard P. Rand, MDa, Eric Y. Lin, MDa, Douglas E. Wood, MDb a Division of Plastic and Reconstructive Surgery, University of Washington Department of Surgery, Seattle, Washington, USA
b Division of Cardiothoracic Surgery, Department of Surgery, University of Washington, Seattle, Washington, USA

Accepted for publication May 7, 2000.

Address reprint requests to Dr Rand, University of Washington Medical Center, 1959 NE Pacific St, Box 356410, Seattle, WA 98195-6410
e-mail: rrand{at}u.washington.edu

A method for total esophageal reconstruction when intestinal options are no longer available is presented. The technique described utilizes the parascapular microsurgical free flap, which is tubed and interposed between the cervical esophagus and the gastric remnant in the abdomen. The technique involves a well-recognized microsurgical flap and may be added to the armamentarium for total esophageal reconstruction.






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