Free Jejunum Graft for Reconstruction of Cervical Esophagus. Review of 15 Caces.
10.2185/jjrm.47.109
- VernacularTitle:空腸移植による頚部食道再建 当科で施行した１５例の検討
- Author:
Tachio ONO
;
Osamu KATO
;
Shigeki TUJI
;
Tadamichi TOBITA
;
Hajime TUKUI
- Publication Type:Journal Article
- From:Journal of the Japanese Association of Rural Medicine
1998;47(2):109-115
- CountryJapan
- Language:Japanese
-
Abstract:
We reviewed 15 cases of reconstruction of cervical esophagus by grafting with free jejunum, which has been performed in our hospital since 1987. Primary disorders were hypopharyngeal cancer (8 cases), cervical esophageal cancer (4 cases), mesopharygeal cancer (2 cases) and laryngeal cancer (1 case). Our team for this operation consisted of otolaryngologists, abdominal surgeons and a microvasucular surgeon. We took, on the average, 15 hours and a half for total operation and four hours and half for blood isolation of the jejunum. Postoperative troubles were as follows ; necrosis of the grafted jejunum (1 case), suture failure at the phyayngojejunal anastomosis (1 case), fistural formation at the pharyngoesophageal anastomosis (1 case), light dysphagia (3 cases), ileus (2 cases) and perforation of the jejunostoma (1 cace).
