Repair using the pectoralis major musculocutaneous flap for refractory anastomotic leakage after total esophagectomy

Oga, Yoko; Okumura, Tomoyuki; Miwa, Takeshi; Numata, Yoshihisa; Matsumoto, Shigeki; Kaneda, Koji; Kimura, Nana; Fukasawa, Mina; Nagamori, Masakazu; Mori, Kosuke; Takeda, Naoya; Yagi, Kenta; Ito, Miki; Nagaoka, Yasuhiro; Takeshita, Chitaru; Watanabe, Toru; Hirano, Katsuhisa; Igarashi, Takamichi; Tanaka, Haruyoshi; Hashimoto, Isaya; Shibuya, Kazuto; Hojo, Shozo; Yoshioka, Isaku; Abe, Hideharu; Satake, Toshihiko; Fujii, Tsutomu

doi:10.1186/s40792-023-01659-y

Surgical Case Reports

Table 1 Literature review of repair using PMMF for AL after esophagectomy

From: Repair using the pectoralis major musculocutaneous flap for refractory anastomotic leakage after total esophagectomy

Year of publication	Author	Ref. no.	Age	Sex	Reconstruction	Reconstruction route	Site of leakage	Size of defect	Side of skin	Repair after esophagectomy (days)	AL after repair
1998	Heitmiller	[14]	73	M	Stomach	Retrosternal	Esophago-gastric	1/2 circumference	Inside	ND	Present
1998	Williams JK	[11]	27	M	Colon	Retrosternal	Esophago-colon	Half of Anterior wall	Inside	11	Present
2006	Hirano M	[15]	61	F	Jejunal graft	Subcutaneous	Pharyngo-jejunum	3 cm	Outside	46	Absent
2010	McLean JN	[4]	ND	ND	ND	ND	ND	ND	Inside	ND	ND
2010	Morita M	[8]	55	M	Stomach	Subcutaneous	Esophago-gastric	ND	Outside	59	Absent
			54	M	Stomach	Subcutaneous	Esophago-gastric	ND	Outside	32	Absent
			90	M	Colon	Subcutaneous	Esophago-colon	ND	Outside	47	Absent
			70	M	Colon	Subcutaneous	Esophago-colon	ND	Outside	50	Absent
			66	M	Colon	Subcutaneous	Esophago-colon	ND	Outside	55	Absent
			61	M	Colon	Subcutaneous	Esophago-colon	ND	Outside	56	Present
2015	Yin K	[12]	46	F	Colon	Retrosternal	Esophago-colon	7 × 3 cm	Inside	ND	Present
2017	Yamana I	[5]	74	M	Stomach	Subcutaneous	Esophago-gastric	ND	ND	ND	ND
			69	F	Stomach	Subcutaneous	Esophago-gastric	ND	ND	ND	ND
			67	M	Stomach	Subcutaneous	Esophago-gastric	ND	ND	ND	ND
2020	Deng L	[13]	47	M	Stomach	Posterior mediastinal	Esophago-gastric	7 × 5 cm*	Inside	60	Absent
			68	M	Stomach	Retrosternal	Esophago-gastric	8 cm	Inside	60	Present
			56	M	Stomach	Posterior mediastinal	Esophago-gastric	7 × 5 cm*	Inside	240	Absent
			51	F	stomach	Posterior mediastinal	Esophago-gastric	7 × 5 cm*	Inside	60	Absent
			60	M	Stomach	Posterior mediastinal	Esophago-gastric	7 × 5 cm*	Inside	90	Absent
			49	F	Stomach	Posterior mediastinal	Esophago-gastric	7 × 5 cm*	Inside	90	Absent
2023	Oga Y	Present case	73	M	Stomach	Posterior mediastinal	Jejunal-gastric	6 cm	Inside	71	Present

ND not described, AL anastomotic leakage
^*Size of the skin paddle to repair the defect

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