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Experimental Replacement of the Cervical Esophagus

Experimental Replacement of the Cervical Esophagus Abstract Replacement of the hypopharynx and cervical portion of the esophagus after resection for a malignant lesion has presented sufficient problems to justify a search for better methods. It has been more than 80 years since Czerny in 1877 first successfully resected a carcinoma from the cervical portion of the esophagus. Since then many ingenious methods of replacement have been devised, but no single method has found general acceptance. Impetus for the use of transplants of isolated segments of hollow viscera to accomplish replacement has been provided by reports of encouraging success with anastomoses of small vessels. Jacobson and Suarez described excellent results with microsuturing techniques and demonstrated the feasibility of successfully anastomosing vessels as small as 1.4 mm in outside diameter. Good results have recently been reported3,19,24 from use of the nonsuture method of Blakemore and Lord with cylinder prostheses. Holt and Lewis have devised a successful method using References 1. Androsov, P. I.: New Method of Surgical Treatment of Blood Vessel Lesions , AMA Arch Surg 73:902-910 ( (Dec) ) 1956.Crossref 2. Blakemore, A. H., and Lord, J. W., Jr.: A Nonsuture Method of Blood Vessel Anastomosis: Experimental and Clinical Study , JAMA 127:685-691 ( (March 24) )Crossref 3. 748-753 (March 31) 1945. 4. Carter, P. D.: Suture and Nonsuture Methods of Small Vein Anastomosis: A Comparison of Methods of Small Vein Anastomosis , Arch Surg 84:350-352 ( (March) ) 1962.Crossref 5. Carton, C. A.; Kessler, L. A.; Seidenberg, B.; and Hurwitt, E. S.: Experimental Studies in the Surgery of Small Blood Vessels: IV. Nonsuture Anastomosis of Arteries and Veins, Using Flanged Ring Prostheses and Plastic Adhesive , Surg Forum 11:238-239, 1960. 6. Carveth, S. W.: Motor Action of the Canine Esophagus and Gastroesophageal Sphincter After Muscle and Nerve Interruption Procedures, Thesis, Graduate School, University of Minnesota, 1961. 7. Carveth, S. W.; Schlegel, J. F.; Code, C. F.; and Ellis, F. H., Jr.: Esophageal Motility After Vagotomy, Phrenicotomy, Myotomy, and Myomectomy in Dogs , Surg Gynec Obstet 114:31-42 ( (Jan) ) 1962. 8. Code, C. F.; Wilkinson, G. R., Jr.; and Saner, W. G.: Normal and Some Abnormal Colonic Motor Patterns in Man , Ann NY Acad Sci 58:317-335 ( (July 15) ) 1954.Crossref 9. Czerny: Neue Operationen , Zbl Chir 4:433-434 ( (July 14) ) 1877. 10. Healey, J. E., Jr.; Moore, E. B.; Brooks, B. F.; and Sheena, K. S.: A Vascular Clamp for Circumferential Repair of Blood Vessels , Surgery 51:452-455 ( (April) ) 1962. 11. Hiebert, C. A., and Cummings, G. O., Jr.: Successful Replacement of the Cervical Esophagus by Transplantation and Revascularization of a Free Graft of Gastric Antrum , Ann Surg 154:103-106 ( (July) ) 1961.Crossref 12. Holt, G. P., and Lewis, F. J.: A New Technique for End-to-End Anastomosis of Small Arteries , Surg Forum 11:242-243, 1960. 13. Inokuchi, K.: A New Type of Vessel-Suturing Apparatus , AMA Arch Surg 77:954-957 ( (Dec) ) 1958.Crossref 14. Inokuchi, K.: Stapling Device for End-to-Side Anastomosis of Blood Vessel , Arch Surg 82: 337-341 ( (March) ) 1961.Crossref 15. Iskeceli, O. K.: The Use of Free Jejunal Segments in the Reconstruction of Cervical Esophageal Defects , Surgery 51:496-502 ( (April) ) 1962. 16. Jacobson, J. H., II, and Suarez, E. L.: Microsurgery in Anastomosis of Small Vessels , Surg Forum 11:243-245, 1960. 17. Nakayama, K.; Tamiya, T.; Yamamoto, K.; and Akimoto, S.: A Simple New Apparatus for Small Vessel Anastomosis (Free Autograft of the Sigmoid Included) , Surgery 52:918-931 ( (Dec) ) 1962. 18. Nathan, H. S.; Nachlas, M. M.; Solomon, R. D.; Halpern, B. D.; and Seligman, A. M.: Nonsuture Closure of Arterial Incisions Using a Rapidly-Polymerizing Adhesive , Ann Surg 152: 648-659 ( (Oct) ) 1960.Crossref 19. Roberts, R. E., and Douglass, F. M.: Replacement of the Cervical Esophagus and Hypopharynx by a Revascularized Free Jejunal Autograft , New Engl J Med 264:342-344 ( (Feb 16) ) 1961.Crossref 20. Rohman, M.; Goetz, R. H.; and Dee, R.: Double Coronary Artery-Internal Mammary Artery Anastomoses: Tantalum Ring Technique , Surg Forum 11:236-237, 1960. 21. Seidenberg, B.; Rosenak, S. S.; Hurwitt, E. S.; and Som, M. L.: Immediate Reconstruction of the Cervical Esophagus by a Revascularized Isolated Jejunal Segment , Ann Surg 149:162-171 ( (Feb) ) 1959.Crossref 22. Sterling, J. A.: Experimental Use of an Apparatus for Stapling Small Blood Vessels , J Einstein Med Cent 7:192-193 ( (July) ) 1959. 23. Takaro, T.: A Simple Stapling Device for the Anastomosis of Blood Vessels , J Thorac Cardiov Surg 40:673-684 ( (Nov) ) 1960. 24. Torbey, K., and Waddell, W. R.: Function of the Colon After Removal of Anal Sphincters and Replacement by Denervated Ileal Segments: An Experimental Study , Ann Surg 154:424-431 ( (Sept) ) 1961.Crossref 25. Urschel, H. C., Jr., and Roth, E. J.: Small Arterial Anastomoses: I. Nonsuture , Ann Surg 153:599-610 ( (April) ) 1961.Crossref 26. Vogelfanger, I. J.; Beattie, W. G.; Brown, F. N.; DeVitt, J. E.; Scobie, T. K.; and Scobie, D. H: The Problem of Small Vessel Anastomosis , Surgery 52:354-361 ( (Aug) ) 1962. 27. Wilkinson, G. R., Jr.: The Influence of Morphine and Several Synthetic Non-Addicting Morphine-Like Substances on Pelvic Colon Motility in the Dog and Man, thesis, Graduate School, University of Minnesota, 1956. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Experimental Replacement of the Cervical Esophagus

Archives of Surgery , Volume 87 (2) – Aug 1, 1963

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Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1963.01310140073014
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Abstract

Abstract Replacement of the hypopharynx and cervical portion of the esophagus after resection for a malignant lesion has presented sufficient problems to justify a search for better methods. It has been more than 80 years since Czerny in 1877 first successfully resected a carcinoma from the cervical portion of the esophagus. Since then many ingenious methods of replacement have been devised, but no single method has found general acceptance. Impetus for the use of transplants of isolated segments of hollow viscera to accomplish replacement has been provided by reports of encouraging success with anastomoses of small vessels. Jacobson and Suarez described excellent results with microsuturing techniques and demonstrated the feasibility of successfully anastomosing vessels as small as 1.4 mm in outside diameter. Good results have recently been reported3,19,24 from use of the nonsuture method of Blakemore and Lord with cylinder prostheses. Holt and Lewis have devised a successful method using References 1. Androsov, P. I.: New Method of Surgical Treatment of Blood Vessel Lesions , AMA Arch Surg 73:902-910 ( (Dec) ) 1956.Crossref 2. Blakemore, A. H., and Lord, J. W., Jr.: A Nonsuture Method of Blood Vessel Anastomosis: Experimental and Clinical Study , JAMA 127:685-691 ( (March 24) )Crossref 3. 748-753 (March 31) 1945. 4. Carter, P. D.: Suture and Nonsuture Methods of Small Vein Anastomosis: A Comparison of Methods of Small Vein Anastomosis , Arch Surg 84:350-352 ( (March) ) 1962.Crossref 5. Carton, C. A.; Kessler, L. A.; Seidenberg, B.; and Hurwitt, E. S.: Experimental Studies in the Surgery of Small Blood Vessels: IV. Nonsuture Anastomosis of Arteries and Veins, Using Flanged Ring Prostheses and Plastic Adhesive , Surg Forum 11:238-239, 1960. 6. Carveth, S. W.: Motor Action of the Canine Esophagus and Gastroesophageal Sphincter After Muscle and Nerve Interruption Procedures, Thesis, Graduate School, University of Minnesota, 1961. 7. Carveth, S. W.; Schlegel, J. F.; Code, C. F.; and Ellis, F. H., Jr.: Esophageal Motility After Vagotomy, Phrenicotomy, Myotomy, and Myomectomy in Dogs , Surg Gynec Obstet 114:31-42 ( (Jan) ) 1962. 8. Code, C. F.; Wilkinson, G. R., Jr.; and Saner, W. G.: Normal and Some Abnormal Colonic Motor Patterns in Man , Ann NY Acad Sci 58:317-335 ( (July 15) ) 1954.Crossref 9. Czerny: Neue Operationen , Zbl Chir 4:433-434 ( (July 14) ) 1877. 10. Healey, J. E., Jr.; Moore, E. B.; Brooks, B. F.; and Sheena, K. S.: A Vascular Clamp for Circumferential Repair of Blood Vessels , Surgery 51:452-455 ( (April) ) 1962. 11. Hiebert, C. A., and Cummings, G. O., Jr.: Successful Replacement of the Cervical Esophagus by Transplantation and Revascularization of a Free Graft of Gastric Antrum , Ann Surg 154:103-106 ( (July) ) 1961.Crossref 12. Holt, G. P., and Lewis, F. J.: A New Technique for End-to-End Anastomosis of Small Arteries , Surg Forum 11:242-243, 1960. 13. Inokuchi, K.: A New Type of Vessel-Suturing Apparatus , AMA Arch Surg 77:954-957 ( (Dec) ) 1958.Crossref 14. Inokuchi, K.: Stapling Device for End-to-Side Anastomosis of Blood Vessel , Arch Surg 82: 337-341 ( (March) ) 1961.Crossref 15. Iskeceli, O. K.: The Use of Free Jejunal Segments in the Reconstruction of Cervical Esophageal Defects , Surgery 51:496-502 ( (April) ) 1962. 16. Jacobson, J. H., II, and Suarez, E. L.: Microsurgery in Anastomosis of Small Vessels , Surg Forum 11:243-245, 1960. 17. Nakayama, K.; Tamiya, T.; Yamamoto, K.; and Akimoto, S.: A Simple New Apparatus for Small Vessel Anastomosis (Free Autograft of the Sigmoid Included) , Surgery 52:918-931 ( (Dec) ) 1962. 18. Nathan, H. S.; Nachlas, M. M.; Solomon, R. D.; Halpern, B. D.; and Seligman, A. M.: Nonsuture Closure of Arterial Incisions Using a Rapidly-Polymerizing Adhesive , Ann Surg 152: 648-659 ( (Oct) ) 1960.Crossref 19. Roberts, R. E., and Douglass, F. M.: Replacement of the Cervical Esophagus and Hypopharynx by a Revascularized Free Jejunal Autograft , New Engl J Med 264:342-344 ( (Feb 16) ) 1961.Crossref 20. Rohman, M.; Goetz, R. H.; and Dee, R.: Double Coronary Artery-Internal Mammary Artery Anastomoses: Tantalum Ring Technique , Surg Forum 11:236-237, 1960. 21. Seidenberg, B.; Rosenak, S. S.; Hurwitt, E. S.; and Som, M. L.: Immediate Reconstruction of the Cervical Esophagus by a Revascularized Isolated Jejunal Segment , Ann Surg 149:162-171 ( (Feb) ) 1959.Crossref 22. Sterling, J. A.: Experimental Use of an Apparatus for Stapling Small Blood Vessels , J Einstein Med Cent 7:192-193 ( (July) ) 1959. 23. Takaro, T.: A Simple Stapling Device for the Anastomosis of Blood Vessels , J Thorac Cardiov Surg 40:673-684 ( (Nov) ) 1960. 24. Torbey, K., and Waddell, W. R.: Function of the Colon After Removal of Anal Sphincters and Replacement by Denervated Ileal Segments: An Experimental Study , Ann Surg 154:424-431 ( (Sept) ) 1961.Crossref 25. Urschel, H. C., Jr., and Roth, E. J.: Small Arterial Anastomoses: I. Nonsuture , Ann Surg 153:599-610 ( (April) ) 1961.Crossref 26. Vogelfanger, I. J.; Beattie, W. G.; Brown, F. N.; DeVitt, J. E.; Scobie, T. K.; and Scobie, D. H: The Problem of Small Vessel Anastomosis , Surgery 52:354-361 ( (Aug) ) 1962. 27. Wilkinson, G. R., Jr.: The Influence of Morphine and Several Synthetic Non-Addicting Morphine-Like Substances on Pelvic Colon Motility in the Dog and Man, thesis, Graduate School, University of Minnesota, 1956.

Journal

Archives of SurgeryAmerican Medical Association

Published: Aug 1, 1963

References