Surgical Management of Suture Insufficiency at Cervical Esophagogastrostomy After Surgery for Carcinoma of the Thoracic Esophagus

  • Takuo Murakami
  • Akira Tangoku
  • Hiroto Hayashi
  • Takashi Suzuki
Conference paper


Carcinoma of the thoracic esophagus remains a surgical challenge with esophagectomy having an associated hospital mortality rate of about 10%–17%. One of the recommended procedures for esophageal reconstruction is to pull the stomach up into the cervical region through the posterior mediastinal and retrosternal route.


Gastric Tube Thoracic Esophagus Purse String Suture Tissue Blood Flow Gastroepiploic Artery 
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  1. 1.
    Ishigami K, Murakami T, Oka M (1988) Neurovascular manipulation for safer surgery of thoracic esophageal cancer. In: Sievert JR, Holscher AH (eds) Diseases of the esophagus. Springer, Berlin Heidelberg New York, pp 437–442Google Scholar
  2. 2.
    Mii T (1981) Relationship between autonomic innervation and hemodynamics of the gastric tube for esophageal reconstruction, especially the effect of thoracic sympathectomy on the microcirculatory disturbance in the gastric tube. Arch Jpn Chir 50: 747–768Google Scholar
  3. 3.
    Muehrche DD, Kaplan DK, Donnelly RJD (1989) Anastomotic narrowing after esophagogastrectomy with the EE A stapling device. J Thorac Cardiovasc Surg 97: 434–438Google Scholar
  4. 4.
    Kumashiro R, Kamachi H, Maekawa T, Sakaida R, Inutsuka S (1990) Dilation of the stump of the esophagus and intestine with Doyen’s intestinal clamp followed by application of lidocaine facilitates the stapling anastomoses. Am Surg 56: 308–309PubMedGoogle Scholar

Copyright information

© Springer-Verlag Tokyo 1993

Authors and Affiliations

  • Takuo Murakami
  • Akira Tangoku
  • Hiroto Hayashi
  • Takashi Suzuki
    • 1
  1. 1.Second Department of SurgeryYamaguchi University School of MedicineUbe, Yamaguchi, 755Japan

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