Esophagus reconstruction with free jejunal transfer
| Autor: | Bela A. Tabar, Peter Horvath, András Papp, György Tizedes, László Cseke, Gábor Pavlovics |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Microsurgery Ischemic time Laryngectomy Esophagus Swallowing Pharyngectomy Medicine Humans Retrospective Studies business.industry Anastomosis Surgical Delayed reconstruction Surgical procedures Middle Aged Surgery Jejunum Treatment Outcome Esophagoplasty Blood supply Female business Esophagus reconstruction |
| Zdroj: | Microsurgery. 26(1) |
| ISSN: | 0738-1085 |
| Popis: | Following pharyngolaryngectomy, reconstruction is one of the most challenging surgical procedures. Here we review our own experiences using a microvascularly transferred free jejunal graft. This method was performed in 22 patients (19 male and 3 female, aged 40-63 years). Seven patients underwent neoadjuvant chemo-radiotherapy. Eighteen patients had immediate reconstruction after pharyngolaryngectomy, and 4 patients had delayed reconstruction because of complications from previous surgeries (2 stenoses, and 2 recurrent cancers). The duration of surgery ranged from 5-9 h (mean, 6.3 h), and the ischemic time of the graft was 70-125 min (mean, 88 min). This method has several advantages: it Is a one-step operation; the graft is covered by self-cleaning mucosa; the development of fistulas and stenoses is rare; and the technique provides good swallowing. Owing to its good blood supply, this reconstructive method can also be used in previously irradiated areas. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text