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[用于替代颈段食管的空肠微血管移植技术]

[Technique of microvascular jejunum transfer for replacement of the cervical esophagus].

作者信息

Steffen R, Mayer B, Knoop M, Jahnke V, Neuhaus P

机构信息

Chirurgische Klinik und Poliklinik, Universitätsklinikum Rudolf Virchow, Freien Universität Berlin.

出版信息

Chirurg. 1991 Apr;62(4):332-5.

PMID:1860358
Abstract

Technique and results of the first 10 free jejunal grafts after pharyngolaryngectomy are presented. End-to-side venous anastomosis and end-to-side pharyngojejunostomy instead of end-to-end techniques are proposed. Hospital mortality was 0 and as minor complications 1 uncomplicated fistula of the proximal and 1 stenosis of the distal anastomosis along with 1 wound infection were seen. There were no vascular complications and no graft loss. All patients were able to swallow and to eat thus an excellent quality of life was achieved.

摘要

介绍了喉咽切除术后首例10例游离空肠移植的技术及结果。建议采用端侧静脉吻合和端侧咽空肠吻合术,而非端端技术。医院死亡率为0,作为轻微并发症,可见1例近端无并发症的瘘管、1例远端吻合口狭窄以及1例伤口感染。无血管并发症,也没有移植失败。所有患者均能吞咽和进食,因此生活质量极佳。

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