Zhang Zhenrong, Guo Yongqing, Liang Chaoyang, Feng Hongxiang, Liu Deruo
Department of General Thoracic Surgery, China Japan Friendship Hospital, Beijing 100029, China.
J Thorac Dis. 2016 Jul;8(7):E513-6. doi: 10.21037/jtd.2016.05.06.
In rare cases when stomach could not be suitable for esophageal replacement, the jejunum should probably be suitable for esophageal reconstruction. However, the widespread prevalence of jejunal interposition is precluded because of its complexity. Here we present a case of a 74-year-old female who underwent free jejunal interposition as salvage surgery. In this case, cervical esophagus was injured during thyroidectomy. Nine months later, replacement of injured part of esophagus with free jejunum was performed. End-to-end and end-to-side anastomosis were used for esophagus-jejunum and vascular-to-vascular anastomosis respectively. This patient was discharged from hospital 15 days postoperatively. No severe postoperative complication happened. Only minor late operation complication (anastomotic stricture) occurred during 13 years of annual follow-up.
在极少数情况下，如果胃不适合用于食管替代，空肠可能适合食管重建。然而，由于其操作复杂，空肠间置术未能广泛应用。在此，我们报告一例74岁女性患者，接受了游离空肠间置术作为挽救性手术。该病例中，患者在甲状腺切除术中颈部食管受损。9个月后，采用游离空肠对受损食管段进行了替代。食管与空肠采用端端吻合，血管与血管采用端侧吻合。该患者术后15天出院。术后未发生严重并发症。在13年的年度随访中仅出现轻微的后期手术并发症（吻合口狭窄）。
