Furukawa Hiroshi, Yamamoto Yuhei, Sasaki Satoru, Sekido Mitsuru, Takeuchi Akiteru, Sugihara Tsuneki, Fukuda Satoshi, Okushiba Shunnichi
Department of Plastic and Reconstructive Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
J Reconstr Microsurg. 2003 Feb;19(2):93-8. doi: 10.1055/s-2003-37813.
The authors report two cases of pharyngoesophageal reconstruction using free jejunum transfer, which required additional microsurgical reconstruction, due to total or partial loss of the free jejunal graft, despite successful microvascular anastomoses. Replacement and additional transfer of the second free jejunum segment were successfully carried out, with minimal risk and low morbidity. The second free jejunal transfer is one of the reliable reconstructive choices in the management of complicated pharyngoesophageal reconstruction with free jejunum.
作者报告了两例使用游离空肠移植进行咽食管重建的病例，尽管微血管吻合成功，但由于游离空肠移植物全部或部分丢失，仍需要额外的显微外科重建。成功进行了第二个游离空肠段的置换和额外移植，风险极小且发病率低。在复杂的游离空肠咽食管重建治疗中，第二次游离空肠移植是可靠的重建选择之一。
