Abstract
Despite recent advances in multimodality therapy, the mainstay of therapy for esophageal carcinoma remains surgical resection. Following esophagectomy, there are a number of options to restore continuity of the upper gastrointestinal tract. Important considerations for reconstruction include: choice of conduit (e.g., stomach, colon, jejunum); technique of conduit construction (e.g., whole stomach vs. gastric tube, left vs. right colon, etc.); location of anastomosis (i.e., intrathoracic vs. cervical); need for gastric drainage procedures (pyloroplasty, pyloromyotomy, or no drainage); and the route of reconstruction (posterior mediastinal, retrosternal, transpleural, subcutaneous). Each of these factors may have a significant impact on postoperative morbidity and long-term function.
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Williams, L.J., Casson, A.G. (2007). Posterior Mediastinal or Retrosternal Reconstruction Following Esophagectomy for Cancer. In: Ferguson, M.K. (eds) Difficult Decisions in Thoracic Surgery. Springer, London. https://doi.org/10.1007/978-1-84628-474-8_31
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DOI: https://doi.org/10.1007/978-1-84628-474-8_31
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