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Ann Thorac Surg 2005;80:2384-2386
© 2005 The Society of Thoracic Surgeons

How to do it

A New Technique of Subcutaneous Colon Interposition

Michael S. Kent, MD a , Lloyd Gayle, MD b , Lloyd Hoffman, MD b , Nasser K. Altorki, MD a , *

a Department of Cardiothoracic Surgery, Weill Medical College of Cornell University, New York, New York
b Division of Plastic Surgery, Department of Surgery, Weill Medical College of Cornell University, New York, New York

Accepted for publication June 11, 2004.

* Address correspondence to Dr Altorki, Department of Cardiothoracic Surgery, Suite M404, Weill Medical College of Cornell University, New York, NY10021 (Email: nkaltork{at}mail.med.cornell.edu).

A colon interposition graft may be placed in the subcutaneous position when other routes are not available. Creation of an adequate subcutaneous tunnel may be difficult, especially in patients with prior sternotomy. In this report we describe a method that utilizes tissue expanders to facilitate subcutaneous esophageal reconstruction.






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