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- W1578606394 abstract "New techniques for hand-assisted laparoscopic colon surgery have been applied while treating patients with numerous types of colorectal diseases. However, reports of hand-assisted laparoscopic colonic mobilization for esophageal reconstruction are rare. We describe an improved procedure for esophageal reconstruction using the transverse colon after lye ingestion. A 36-year-old female swallowed approximately 50 ml of lye, and dysphagia developed 1 month after ingestion. An esophagogram and upper gastrointestinal series revealed long segmental stenosis of the esophagus about 25-34cm distal to the central incisor without apparent gastric involvement. The patient's symptoms did not improve despite aggressive esophageal dilatation via mercury bougie dilatation. After dilatation, we adopted a new approach by which the operator inserted one hand in the abdomen through a 7-cm abdominal vertical incision for hand-assisted laparoscopic colonic mobilization. In addition, cervical esophagocolostomy through retrosternal route, cologastrostomy, and colocolostomy were performed. The operative procedure took about 4 hours. The patient recovered uneventfully and began to eat on the 7th postoperative day. She was discharged on the 9th postoperative day without complications." @default.
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- W1578606394 date "2001-10-01" @default.
- W1578606394 modified "2023-09-27" @default.
- W1578606394 title "Hand-assisted Laparoscopic Colon Mobilization for Esophageal Reconstruction: A Case Report" @default.
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