Free Jejunal Graft for Reconstruction of Defects in the Hypopharynx and Cervical Esophagus Following the Cancer Resections

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• 作者：Dean Zhao (1)
  Xingqiang Gao (1)
  Limei Guan (1)
  Wenling Su (1)
  Jing Gao (1)
  Cunshan Liu (1)
  Xianyang Luo (1)
  Xiaoyan Li (1)
  
• 关键词：Hypopharyngeal ; Esophageal cancer ; Free jejunal graft ; Reconstruction ; Microvascular
• 刊名：Journal of Gastrointestinal Surgery
• 出版年：2009
• 出版时间：July 2009
• 年：2009
• 卷：13
• 期：7
• 页码：1368-1372
• 全文大小：186KB
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• 作者单位：Dean Zhao (1)
  Xingqiang Gao (1)
  Limei Guan (1)
  Wenling Su (1)
  Jing Gao (1)
  Cunshan Liu (1)
  Xianyang Luo (1)
  Xiaoyan Li (1)
  
  1. Department of Otolaryngology-Head & Neck Surgery, Xiamen First Hospital Affiliated Fujian Medical College, 55 Zhenhai Road, Xiamen City, Fujian Province, 361003, China
  

文摘

Objectives The reconstruction of esophagus defects after hypopharyngeal and cervical esophageal carcinoma resection is an ongoing problem. The objective of this article was to investigate the techniques of the free jejunal graft for the reconstruction of hypopharyngeal and cervical esophagus and discuss the outcome related to the procedures. Subjects and methods From July of 2005 to December 2007, seven patients with hypopharyngeal and cervical esophageal cancer underwent free jejunal graft reconstruction of the hypopharyngeal and cervical esophagus. Their clinical data were retrospectively analyzed. All patients received postoperative radiotherapy and were followed up for 7-4?months. Results Despite the multistep and time-consuming procedure, free jejunal graft survival was 100%. Operation-induced complications did not occur in six patients. One patient developed pharyngeal fistula. Conclusion The present experience supports the use of free jejunal grafts in reconstruction of the hypopharyngeal and cervical esophagus defects after exenteration of the central compartment of the neck. A high successful rate with low incidence of complications in reconstruction of the hypopharyngeal and cervical esophagus was obtained in this study.