Zhao Dean, Gao Xingqiang, Guan Limei, Su Wenling, Gao Jing, Liu Cunshan, Luo Xianyang, Li Xiaoyan
Department of Otolaryngology-Head & Neck Surgery, Xiamen First Hospital Affiliated Fujian Medical College, 55 Zhenhai Road, Xiamen City, Fujian Province, 361003, China.
J Gastrointest Surg. 2009 Jul;13(7):1368-72. doi: 10.1007/s11605-009-0877-8. Epub 2009 Mar 31.
The reconstruction of esophagus defects after hypopharyngeal and cervical esophageal carcinoma resection is an ongoing problem. The objective of this article was to investigate the techniques of the free jejunal graft for the reconstruction of hypopharyngeal and cervical esophagus and discuss the outcome related to the procedures.
From July of 2005 to December 2007, seven patients with hypopharyngeal and cervical esophageal cancer underwent free jejunal graft reconstruction of the hypopharyngeal and cervical esophagus. Their clinical data were retrospectively analyzed. All patients received postoperative radiotherapy and were followed up for 7-24 months.
Despite the multistep and time-consuming procedure, free jejunal graft survival was 100%. Operation-induced complications did not occur in six patients. One patient developed pharyngeal fistula.
The present experience supports the use of free jejunal grafts in reconstruction of the hypopharyngeal and cervical esophagus defects after exenteration of the central compartment of the neck. A high successful rate with low incidence of complications in reconstruction of the hypopharyngeal and cervical esophagus was obtained in this study.
下咽及颈段食管癌切除术后食管缺损的重建一直是个难题。本文的目的是研究游离空肠移植修复下咽及颈段食管的技术，并探讨与手术相关的结果。
2005年7月至2007年12月，7例下咽及颈段食管癌患者接受了游离空肠移植修复下咽及颈段食管。对其临床资料进行回顾性分析。所有患者术后均接受放疗，并随访7至24个月。
尽管手术步骤多且耗时，但游离空肠移植存活率为100%。6例患者未发生手术相关并发症。1例患者发生咽瘘。
目前的经验支持在颈部中央区清扫术后使用游离空肠移植修复下咽及颈段食管缺损。本研究在下咽及颈段食管重建中获得了较高的成功率和较低的并发症发生率。
