Surgical outcome of left colon interposition for
esophageal reconstruction

Park, Jong-Tae; Kim, Hyoung-Il; Cho, Hyoung-Won; Kim, Choong-Bai

doi:2010.6.1.54

Korean Journal of Clinical Oncology > Article

Original Article

Korean Journal of Clinical Oncology 2010;6(1): 54-61.

좌측 대장 간치술을 이용한 식도 재건의 수술적 결과

박종태, 김형일, 조형원, 김충배

연세대학교 의과대학 외과학교실

Surgical outcome of left colon interposition for esophageal reconstruction

Jong-Tae Park, Hyoung-Il Kim, Hyoung-Won Cho, Choong-Bai Kim

Department of Surgery Yonsei University Health System, Yonsei University College of Medicine, Seoul, South Korea

Corresponding Author: Choong-Bai Kim ,Tel: +82-2-2228-2113, Fax: +82-2-313-8289, Email: cbkimmd@yuhs.ac

Received: May 20, 2010; Accepted: June 23, 2010.

ABSTRACT

Purpose: In esophageal reconstruction, the colon could be used as an alternative organ when the stomach is unavailable. Operative morbidity and functional outcome were evaluated in addition to risk factor assessment. Basic Procedures: From 1991 to 2008, esophageal reconstruction with the left colon was performed in 38 patients by transthoracic (n=13), transhiatal (n=9), and bypass (n=16) surgery. Main findings: No conduit necrosis or operative mortality was observed. Morbidity was seen in 12 patients (31.6%). Leakage occurred in 3 patients (7.8%). Stricture occurred in 9 patients (23.7) Principal
Conclusions: Left colon interposition is applicable to patients with malignant and benign disease with low morbidity and mortality rate, and favorable functional status.

Keywords: Colon interposition | Esophageal reconstruction | Left colon