Free jejunal segment transplantation to reconstruct the esophageal defect caused by tumor resection and fol-low-up observation by endoscopy
10.3760/cma.j.issn.1001-2036.2018.01.012
- VernacularTitle:游离空肠重建下咽癌术后颈段食管缺损并内镜随访观察
- Author:
Ziguan ZHU
1
;
Qingping XIE
;
Lizhong SU
;
Peihong JIN
;
Xiaodong XU
Author Information
1. 浙江省人民医院/杭州医学院附属人民医院手外科&修复重建外科
- Keywords:
Free jejunal transplantation;
Reconstructive;
Hypopharyngeal neoplasms;
Esophagus
- From:
Chinese Journal of Microsurgery
2018;41(1):49-52
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the method and curative effect of the posterior cervical esophageal de-fect after the reconstruction of lower pharyngeal carcinoma by dissociation of the lower pharyngeal carcinoma. Meth-ods From August,2015 to June,2017, we used the jejunum segment. to reconstruct five patients' esophageal defect in the neck segment enlarged after the enlargement of the hypopharyngeal carcinoma. The length of the jejunum was 8.0 -15.0 cm, We used microvascular stapling to anastomosis vein in surgery. The morphological and functional changes of the graft tube were observed by endoscopic follow-up. Results All 5 patients were discharged from the hospital with an average of 12 days in hospital.The mean time of heat ischemia was 8 minutes,and the average oper-ation time was 5.2 hours. After endoscopic follow-up for 12 months, no stricture or anastomotic leakage occurred in the transplanted bowel, and the intestine moves downward autonomously, the morphological and functional remodeling of transplanted intestinal tract was observed. Conclusion Free jejunal reconstruction of hypopharyngeal carcinoma resection for cervical esophageal is a safe method with a good outcome in morphological and functional remodeling.It' s one of the ideal methods to reconstruct cervical esophageal defect.
