Management of refractory cervical anastomotic fistula after esophagectomy using the pectoralis major myocutaneous flap.

ABSTRACT:

Introduction

A refractory cervical anastomotic fistula which postoperatively remains unhealed for more than 2 months under conservative care severely impacts the quality of life of the patient and potentially leads to anastomotic stricture after the fistula heals. It is widely accepted that, to avoid this complication, refractory cervical anastomotic fistulas should undergo more aggressive treatments. However, when and which surgical intervention should be considered is unclear.

Objective

This study was designed to evaluate the role of the pectoralis major myocutaneous flap in the management of refractory cervical anastomotic fistulas based on our experience of 6 cases and a literature review.

Methods

Six patients diagnosed with refractory cervical anastomotic fistula

SUBMITTER: Deng L 

PROVIDER: S-EPMC9422472 | biostudies-literature | 2022 Jan-Feb

REPOSITORIES: biostudies-literature