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Thoracotomy and esophageal surgery: Key points to preserve the possibilities of flaps.

Authors
  • Bertheuil, N1
  • Isola, N2
  • Bergeat, D3
  • Mocquard, C2
  • Watier, E2
  • Rouze, S4
  • Meunier, B3
  • 1 Service de chirurgie plastique et reconstructrice, université de Rennes 1, hôpital sud, 35200 Rennes, France; Inserm U1236, université de Rennes 1, 35000 Rennes, France; Laboratoire SITI, CHU de Rennes, 35000 Rennes, France. Electronic address: [email protected] , (France)
  • 2 Service de chirurgie plastique et reconstructrice, université de Rennes 1, hôpital sud, 35200 Rennes, France. , (France)
  • 3 Service de chirurgie digestive et hépato-biliaire, CHU de Rennes, hôpital Pontchaillou, 35000 Rennes, France. , (France)
  • 4 Service de chirurgie thoracique, CHU de Rennes, hôpital Pontchaillou, 35000 Rennes, France. , (France)
Type
Published Article
Journal
Annales de chirurgie plastique et esthetique
Publication Date
Apr 01, 2019
Volume
64
Issue
2
Pages
195–198
Identifiers
DOI: 10.1016/j.anplas.2018.08.005
PMID: 30236457
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Anastomotic leakage frequently complicates esophagectomy and can trigger a rare life- threatening complication, a tracheoesophageal fistula. No guideline has yet addressed this complication. Plastic surgeons play a crucial role for salvage surgery. When a re-operation is chosen the possibilities of flap interposition depend on how the thoracotomy was initially performed. This study tried to identify key techniques in order help thoracic or general surgeons to preserve all the local flaps available for TEF if it occurs. These techniques improve flap conservation, helping plastic surgeons when a later transposition flap is required. Copyright © 2018 Elsevier Masson SAS. All rights reserved.

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