Reconstruction of defect after resection of hypopharyngeal and cervical esophageal cancer by multiple tissue flaps
10.3760/cma.j.issn.1673-0860.2015.09.012
- VernacularTitle:下咽及食管癌手术切除后残喉或空肠接力胃代食管术分析
- Author:
Yuehuang WU
1
;
Dezhi LI
;
Zhengjiang LI
;
Wensheng LIU
;
Xiaolei WANG
;
Zhenggang XU
Author Information
1. 中国医学科学院肿瘤医院头颈外科
- Keywords:
Hypopharynx neoplasms;
Esophagus neoplasms;
Reconstructive surgical procedures
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2015;50(9):760-764
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore a new method for the reconstruction of defect after resection of hypopharyngeal and cervical esophageal cancer using pulled-up stomach combined with free jejunal flap or lanryngotracheal flap if pulled-up stomach can not reach the level of oral pharynx for ananstamosis.Methods From June 2010 to June 2014,56 cases of hypopharyngeal or cervical esophageal cancer were treated with pharyngogastric anastamosis,in 5 cases of them,because the length of pulled-up stomach was limited and could not reach oral pharynx,free jejunal flap was used in 2 cases with laryngeal invasion and laryngotracheal flap was used in 3 cases without laryngeal invasion to reconstruct the defect between oral pharynx and stomach.Results Pharyngeal fistula occurred in 1 case with laryngotracheal flap reconstruction,but healed after 2 weeks of wound dressing.Other 4 cases had oral liquid diet two weeks after surgery and did not occur any complications such as infection or pharyngeal fistula.Follow-up showed 1 case died from mediastinal and lung metastases after 3 years,1 case had cervical lymph recurrence after 2 years and still survived,and other 3 cases were tumor free survival for 28,37,and 56 months respectively.Conclusions The defect after resection of hypopharyngeal and esophageal cancer can be reconstructed with pulled-up stomach combined with free jejunal flap or lanryngotracheal flap if pulled-up stomach can not reach the level of oral pharynx for ananstamosis.
