[112例游离空肠移植修复下咽环形及颈段食管缺损]
[Reconstruction of hypopharyngeal circumferential and cervical esophageal defects with free jejunal interposition in 112 cases].
作者信息
Yan Dan-gui, Zhang Bin, Li De-zhi, Mao Chi, Xu Zhen-gang, Tang Ping-zhang
机构信息
Department of Head and Neck Surgery, Cancer Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing 100021, China.
出版信息
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2011 May;46(5):373-7.
OBJECTIVE
To investigate the results of reconstruction of hypopharyngeal circumferential and cervical esophageal defects with free jejunal transfer.
METHODS
Retrospective review of 112 patients who underwent pharyngoesophageal reconstruction with free jejunal interposition. Analysis was confined to the patients with advanced hypopharyngeal, esophageal or recurrent laryngeal squamous cell cancer. Kaplan-Meier method was used to identify the accumulative survival rate.
RESULTS
The free jejunal success rate was 94.6% (106/112). The pharyngocutaneous fistula rate and anastomoses narrow rate were 8.9% (10/112) and 12.5% (12/96) respectively. The perioperative mortality rate was 1.8% (2/112). Except 1 case of dead, 6 cases with flap failure and 2 cases with laryngeal preservation, other 103 cases had resumed oral feeding.
CONCLUSIONS
The success rate of free jejunal transplantation is high and free jejunal interposition is an ideal reconstruction method for patients who have hypopharyngeal circumferential and cervical esophageal defects after tumor resection.
目的
探讨游离空肠移植修复下咽环形及颈段食管缺损的效果。
方法
回顾性分析112例行游离空肠移植咽食管重建术的患者。分析仅限于晚期下咽、食管或复发性喉鳞状细胞癌患者。采用Kaplan-Meier法确定累积生存率。
结果
游离空肠成功率为94.6%（106/112）。咽皮肤瘘发生率和吻合口狭窄发生率分别为8.9%（10/112）和12.5%（12/96）。围手术期死亡率为1.8%（2/112）。除1例死亡、6例皮瓣失败和2例保留喉功能外，其余103例已恢复经口进食。
结论
游离空肠移植成功率高，游离空肠移植是肿瘤切除后下咽环形及颈段食管缺损患者的理想重建方法。
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