Chang T S, Wang W, Huang O L
Ninth People's Hospital, Shanghai, China.
Ann Plast Surg. 1985 Dec;15(6):492-6. doi: 10.1097/00000637-198512000-00007.
We report on 20 patients with esophageal defects that were reconstructed by jejunum transplant with the help of microsurgical techniques. Sixteen attempts were successful, for a success rate of 80%. Three types of reconstruction were used: free jejunum transfer, free jejunum flap transfer, and partially pedicled jejunum transfer with the distal portion revascularized. This article emphasizes the complications of these procedures, including tearing of the jejunum mesentery, thrombosis at the anastomotic stoma, balloon-like distention of the cervical portion of the transferred jejunum, strangulation at the diaphragm foramen, and stenosis of the anastomotic stoma between the remnant of the esophagus and the transferred jejunum. Measures for prevention and treatment of these complications are also discussed.
我们报告了20例借助显微外科技术采用空肠移植重建食管缺损的患者。16例手术成功，成功率为80%。采用了三种重建方式：游离空肠移植、游离空肠瓣移植以及部分带蒂空肠移植（远端部分重新血管化）。本文着重介绍了这些手术的并发症，包括空肠系膜撕裂、吻合口血栓形成、移植空肠颈部气球样扩张、膈肌孔处绞窄以及食管残端与移植空肠之间吻合口狭窄。还讨论了这些并发症的防治措施。
