Abstract
Abstract Our hospital is a low volume hospital that performs about 5–10 esophageal cancer surgeries per year in Japan. We aimed to evaluate the results of colon reconstruction in our hospital and the appropriateness of performing this procedure in a low volume hospital. We retrospectively examined complications such as suture failure, conduit necrosis, and anastomotic stenosis in colon reconstruction cases performed at our hospital from 2012 to 2022. Five cases were performed. In all cases, we have confirmed arterial supply of colon by dynamic CT before surgery, and have chosen to posterior mediastinal reconstruction using the left-sided colon. Esophageal-colon anastomosis was performed, with hand-sewn in 2 cases and triangulating stapling in 3 cases. Although a plastic surgeon was always waiting in case of poor blood supply of conduit, none of the cases needed microvascular anastomosis. Recurrent nerve palsy in 1 patient, ileus in 1 patient, and pneumonia in 2 patients were detected. The median operative time was 654 minutes, and the median blood loss was 260 mL. We believe that our cautious preparations make it acceptable to perform esophageal cancer surgery with colon reconstruction even in low volume hospitals.
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