Icard P, Rossat-Mignod J C, Schwaab G, Houssin D
Clinique Chirurgicale, Hópital Cochin, Paris, France.
Eur J Surg Oncol. 1988 Jun;14(3):257-60.
Free jejunal autografting is increasingly recognized as a safe procedure of pharyngoesophageal reconstruction with good functional results, following circular total pharyngolaryngectomy for extended tumors of the pharynx or larynx. Very often, past history of irradiation and/or surgery of the neck have created severe atheromatous lesions of the cervical vessels. We report the case of a patient with obliteration of the right carotid artery and large recurrence of a tumor of the larynx in which simultaneous arterial venous bypass and free jejunal autograft were performed for pharyngoesophageal reconstruction.
对于因下咽或喉的广泛性肿瘤而进行环状全喉咽切除术的患者，游离空肠自体移植术越来越被认为是一种安全的下咽食管重建手术，功能效果良好。颈部既往的放疗和/或手术史常常会导致颈血管出现严重的动脉粥样硬化病变。我们报告了一例右颈动脉闭塞且喉肿瘤大面积复发的患者，该患者同时进行了动静脉旁路手术和游离空肠自体移植术以重建下咽食管。
