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Surgical Treatment of Squamous Carcinoma in an Antethoracic Skin Tube Used for Esophageal Replacement  Matthew P. Fox, MD, Douglas J. Mathisen, MD  The.

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Presentation on theme: "Surgical Treatment of Squamous Carcinoma in an Antethoracic Skin Tube Used for Esophageal Replacement  Matthew P. Fox, MD, Douglas J. Mathisen, MD  The."— Presentation transcript:

1 Surgical Treatment of Squamous Carcinoma in an Antethoracic Skin Tube Used for Esophageal Replacement  Matthew P. Fox, MD, Douglas J. Mathisen, MD  The Annals of Thoracic Surgery  Volume 103, Issue 4, Pages e361-e363 (April 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Coronal and sagittal artistic representation of the patient’s anatomy at presentation. The native esophagus is seen joining the original skin tube near the thoracic outlet. The skin tube anastomoses with a subcutaneous jejunal interposition anterior to the sternum, which is then attached to the stomach distally. (The authors acknowledge Nicole Schulman for providing the illustrations for Fig 1.) The Annals of Thoracic Surgery  , e361-e363DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Preoperative barium swallow result showing large verrucous masses within the skin tube. The normal jejunal roux limb can be seen inferiorly. (B) Endoscopic view of the verrucous mass at the esophageal cutaneous tube anastomosis. The Annals of Thoracic Surgery  , e361-e363DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A) External view of the patient’s original cutaneous tube with the verrucous mass eroding through it. (B) Construction of the new conduit from a myocutaneous flap based on the pectoralis major. The flap was tubularized and brought into the defect subcutaneously. The tube was anastomosed to the native esophagus proximally and the old jejunal interposition distally. The Annals of Thoracic Surgery  , e361-e363DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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