Craig Steven J, Zhang Alexander, Gardner Trevor D, Clark Jonathan R, Ashford Bruce G
Department of Surgery, Wollongong Hospital, New South Wales, Australia.
Sydney Head and Neck Cancer Institute, Department of Head and Neck Surgery, Chris O'Brien Lifehouse, Sydney, Australia.
Head Neck. 2017 Aug;39(8):1696-1698. doi: 10.1002/hed.24698. Epub 2017 Jun 5.
Circumferential defects following salvage pharyngolaryngectomy present significant challenges in reconstructive surgery. The gastro-omental free flap has been shown to reduce the incidence of major fistula and catastrophic complications. The current technique for harvest of the flap requires laparotomy, which is potentially associated with significant post-operative complications. Laparoscopic harvest of the gastro-omental free flap can negate some of the risks associated with open surgery. We describe here the operative technique for laparoscopic gastro-omental free flap harvest for use in reconstruction following total pharyngolaryngectomy. © 2017 Wiley Periodicals, Inc. Head Neck 39: 1696-1698, 2017.
挽救性咽喉切除术后的环形缺损给重建手术带来了重大挑战。胃网膜游离皮瓣已被证明可降低严重瘘管和灾难性并发症的发生率。目前获取该皮瓣的技术需要开腹手术，这可能会带来显著的术后并发症。腹腔镜下获取胃网膜游离皮瓣可以消除一些与开放手术相关的风险。我们在此描述用于全咽喉切除术后重建的腹腔镜下胃网膜游离皮瓣获取的手术技术。© 2017威利期刊公司。《头颈》39: 1696 - 1698, 2017年。
