Reconstruction of hypopharyngeal circumferential and cervical esophageal defects with free jejunal interposition in 112 cases
10.3760/cma.j.issn.1673-0860.2011.05.006
- VernacularTitle:游离空肠移植重建下咽及颈段食管112例临床分析
- Author:
Dan-Gui YAN
1
;
Bin ZHANG
;
De-Zhi LI
;
Chi MAO
;
Zhen-Gang XU
;
Ping-Zhang TANG
Author Information
1. 北京协和医学院中国医学科学院肿瘤研究所,肿瘤医院
- Keywords:
Hypopharyngeai neoplasms;
Esophageal neoplasms;
Reconstructive surgical procedures
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2011;46(5):373-377
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the results of reconstruction of hypopharyngeai circumferential and cervical esophageal defects with free jejunal transfer. Methods Retrosepective review of 112 patients who underwent pharyngoesophageal reconstruction with free jejunal interposition. Analysis was confined to the patients with advanced hypopharyngeal, esophageal or recurrent laryngeal squamous cell cancer. Kaplan-Meier method was used to identify the accumulative survival rate. Results The free jejunal success rate was 94. 6% ( 106/112). The pharyngocutaneous fistula rate and anastomoses narrow rate were 8. 9% ( 10/112) and 12. 5% ( 12/96) respectively. The perioperative mortality rate was 1. 8% (2/112). Except 1 case of dead, 6 cases with flap failure and 2 cases with laryngeal preservation, other 103 cases had resumed oral feeding. Conclusions The success rate of free jejunal transplation is high and free jejunal interposition is an ideal reconstruction method for patients who have hypopharyngeai circumferential and cervical esophageal defects after tumor resection.
