采用游离横结肠移植重建颈段食管：1例合并食管上段蹼及癌的病例报告

Reconstruction of the cervical esophagus using a free transverse colonic graft: report of a case with upper esophageal web and carcinoma.

作者信息

Noguchi T, Uchida Y, Hashimoto T, Wada S, Takeno S, Suzuki M

机构信息

Department of Oncological Science, Surgery II, Oita Medical University, Hasamamachi, Oita, Japan.

出版信息

Dis Esophagus. 2003;16(2):135-8. doi: 10.1046/j.1442-2050.2003.00312.x.

DOI:10.1046/j.1442-2050.2003.00312.x

PMID:12823213

Abstract

Reconstruction of cervical esophagus and hypopharynx following cervical esophagectomy and laryngopharyngectomy is generally performed using jejunal autograft interposition. However, this method has some disadvantages and is not suitable for optimal swallowing function. In our institution, free transverse colonic graft has been successfully applied for reconstructive purposes in 12 cases since 1986. The present report describes a case of upper esophageal web accompanying superficial squamous cell carcinoma and details the operative techniques utilized.

摘要

颈段食管切除和喉咽切除术后，颈段食管和下咽的重建通常采用自体空肠移植术。然而，这种方法存在一些缺点，并不适合实现最佳吞咽功能。自1986年以来，在我们机构，游离横结肠移植已成功应用于12例重建手术。本报告描述了一例伴有浅表鳞状细胞癌的食管上段蹼，并详细介绍了所采用的手术技术。