Katsaros J, Banis J C, Acland R D, Tan E
Br J Plast Surg. 1985 Apr;38(2):220-2. doi: 10.1016/0007-1226(85)90052-9.
A reliable method of monitoring free vascularised jejunum to the head and neck region has been used in six patients. Preliminarily, the jejunum island flap is subdivided into major and minor segments. Transferred to the neck, the major part is used to reconstruct the oesophageal or pharyngeal defect, while the minor part supplied by the same segmental mesenteric artery is exteriorised through the neck incision. After five days direct monitoring, the marker segment is clamped, tied and excised before suturing the neck wound under local anaesthesia. No failures of the graft occurred. The effectiveness of this technique has surpassed all previously published and unpublished methods.
一种可靠的监测带血管空肠移植至头颈部区域的方法已应用于6例患者。首先，将空肠岛状皮瓣分为主要部分和次要部分。转移至颈部后，主要部分用于重建食管或咽部缺损，而由同一肠系膜动脉供血的次要部分则通过颈部切口引出。经过5天的直接监测后，在局部麻醉下缝合颈部伤口前，将标记段夹闭、结扎并切除。未发生移植失败情况。该技术的有效性已超过所有先前已发表和未发表的方法。
