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Laparoscopic harvest of the gastro‐omental free flap for reconstruction after total pharyngolaryngectomy: Operative technique
Author(s) -
Craig Steven J.,
Zhang Alexander,
Gardner Trevor D.,
Clark Jonathan R.,
Ashford Bruce G.
Publication year - 2017
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.24698
Subject(s) - medicine , surgery , laparotomy , head and neck , gastro , fistula , general surgery , disease , reflux
Circumferential defects following salvage pharyngolaryngectomy present significant challenges in reconstructive surgery. The gastro‐omental free flap has been shown to reduce the incidence of major fistula and catastrophic complications. The current technique for harvest of the flap requires laparotomy, which is potentially associated with significant post‐operative complications. Laparoscopic harvest of the gastro‐omental free flap can negate some of the risks associated with open surgery. We describe here the operative technique for laparoscopic gastro‐omental free flap harvest for use in reconstruction following total pharyngolaryngectomy. © 2017 Wiley Periodicals, Inc. Head Neck 39: 1696–1698, 2017