Free jejunum reconstruction and laryngeal preservation for squamous cell carcinoma in the pharyngoesophageal junction
10.3760/cma.j.issn.1673-0860.2014.07.004
- VernacularTitle:下咽颈段食管交界癌的喉功能保留及游离空肠修复术
- Author:
Bin ZHANG
1
;
Jiping SU
;
Jichun YU
;
Zhenhua WU
;
Zhixing FENG
Author Information
1. 100021,北京协和医学院中国医学科学院肿瘤医院肿瘤研究所头颈外科
- Keywords:
Hypopharyngeal neoplasms;
Esophageal neoplasms;
Reconstructive surgical procedures
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2014;49(7):543-547
- CountryChina
- Language:Chinese
-
Abstract:
Objective Try to use free jejunum flaps reconstruction and laryngeal preservation for squamous cell carcinoma (SCC) in the pharyngoesophageal junction.Methods Thirteen patients who underwent resections of SCC in the pharyngoesophageal junction with free jejunal interposition from August 2007 to December 2012 were reviewed.Of them,8 had T3 lesions,4 had T4 lesions,and one had radiation failure with rT2 lesion.Ten patients were treated with postoperative radiotherapy with a average dosage of 56 Gy.Results The 3 year over all survival rate was 47.9％ and disease-specific survival rate was 34.2％.The surgical complications occurred in 9 patients (9/13),including one death and one flap failure.Five patients (5/13) had permanent tracheal canulation,10 patients (10/13) resumed oral feeding and all patients achieved reasonable speech.Conclusion Free jejunum interposition can be used to reconstruct surgical defect of SCC in the pharyngoesophageal junction,thus preserving the larynx and ensuring a better quality of life for the patients.
