Utoh J, Tabira Y, Moriyama S, Sun R, Yasunaga M, Nagamoto N, Sakaguchi T, Kitamura N, Eura S, Samejima Y, Masuyama K, Yumoto E
First Department of Surgery, Kumamoto University School of Medicine, Japan.
Kyobu Geka. 2000 Nov;53(12):992-6.
Twenty consecutive cases of pharyngoesophageal cancer who underwent free jejunal reconstruction were reported. The common carotid or external carotid artery was used for a feeder of the free graft. The internal jugular vein were served as a drainage vein. All anastomoses were performed in an end-to-side fashion without using surgical microscopes. Mean carotid artery clamping time was 16 minutes and no neurological complications were noticed postoperatively. Graft failure was occurred in 1 patient. The presenting technique, showing 95% success rate, is recommended as a simple option for vascular anastomosis in free jejunal reconstructive surgery.
报告了20例接受游离空肠重建术的下咽食管癌患者。使用颈总动脉或颈外动脉作为游离移植物的供血血管。以内颈静脉作为引流静脉。所有吻合均采用端侧吻合方式，未使用手术显微镜。平均颈动脉阻断时间为16分钟，术后未发现神经并发症。1例患者发生移植物失败。所展示的技术成功率为95%，被推荐为游离空肠重建手术中血管吻合的一种简单选择。
