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Extra-anatomical reconstruction of the oesophagus.

The authors present the case of a 53-year-old patient with spinocarcinoma of the thoracic part of the oesophagus. The thoracic part of the oesophagus was resected, and the resulting defect was dealt with in several stages with regard to complications. First, the stomach was interposed; subsequently, an attempt was made at reconstruction using the colon and a loop of the small intestine. All these attempts at reconstruction failed, and the resulting condition was oesophagostomy and nutritive jejunstomy. In light of the patient's general condition, past surgical operations and the size of the defect, a stage-wise extra-anatomical reconstruction using tubed flaps was made.