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Skin Perforator Flap Pedicled by Intercostal Muscle for Repair of a Tracheobronchoesophageal Fistula

Abstract : A tracheobronchial fistula (TBF) is a rare complication when an operation is performed to treat esophageal carcinoma; no consensus treatment strategy has emerged. We describe a surgical interposition strategy, using a new flap, to repair a TBF that arose when esophageal squamous cell carcinoma was treated with neoadjuvant chemoradiation and minimally invasive esophagectomy (the 3-stage McKeown procedure). We performed a skin perforator flap pedicled by the intercostal muscle. It is a valuable option that may be the optimal first-line treatment, especially in the context of neoadjuvant radiation therapy. Furthermore, this strategy affords new options for intrathoracic reconstruction.
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https://hal-univ-rennes1.archives-ouvertes.fr/hal-01560457
Contributor : Laurent Jonchère <>
Submitted on : Tuesday, July 11, 2017 - 3:37:57 PM
Last modification on : Monday, November 18, 2019 - 11:11:36 AM

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Nicolas Bertheuil, Caterina Cusumano, Cécile Meal, Yann Harnoy, Eric Watier, et al.. Skin Perforator Flap Pedicled by Intercostal Muscle for Repair of a Tracheobronchoesophageal Fistula. Annals of Thoracic Surgery, Elsevier, 2017, 103 (6), pp.e571-e573. ⟨10.1016/j.athoracsur.2016.12.054⟩. ⟨hal-01560457⟩

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