Figure 3

The second reconstruction using the transverse colon. (a) The microvascular anastomosis of the left internal thoracic artery and vein was added to the left branch of the middle colic artery and vein (white arrow). (b) Anastomosis of the cervical esophagus and transjverse colon was reinforced using the right pectoralis major muscle flap (black dot), and the transverse colon and wide skin defect of the anterior chest wall were covered with split thickness skin grafts (white dot).