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Ann Thorac Cardiovasc Surg. 2021 Dec 13; doi: 10.5761/atcs.cr.21-00213. Epub 2021 Dec 13.

Reconstruction of the Esophagus with Sternohyoid Flap after Resection of a Large Cervical Esophageal Leiomyosarcoma.

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia

Shenhai Wei, Bingqun Wu, Jintao Tian, Xiaoping Song

Affiliations

  1. Department of Thoracic Surgery, First Hospital of Tsinghua University, Beijing, China.

PMID: 34897191 DOI: 10.5761/atcs.cr.21-00213

Abstract

PURPOSE: Reconstruction of the esophagus with sternohyoid muscle after enucleation of the cervical esophageal leiomyosarcoma (ELS) was rarely reported.

METHODS: A case of 55-year-old female with a large leiomyosarcoma in the cervical esophagus was reported. The tumor was enucleated, and the defect of the esophagus was patched with left sternohyoid muscle flap.

RESULTS: The patient recovered uneventfully after surgery. She has not had any discomfort with swallowing since surgery, and nowadays, there is not any recurrence and metastasis being detected.

CONCLUSION: It is minimal invasive and simple to enucleate the cervical ELS and patch the defect of esophagus with sternohyoid muscle flap. For some selected patients, this method may be a promising surgical procedure to achieve both good swallowing function and satisfying prognosis.

Keywords: esophageal defect; esophageal leiomyosarcoma; sternohyoid muscle flap; surgical procedures

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