Nozaki M, Huang T T, Hayashi M, Endo M, Hirayama T
Plast Reconstr Surg. 1985 Sep;76(3):386-94. doi: 10.1097/00006534-198509000-00008.
During the 5-year period between 1978 and 1983, a total of 56 individuals have undergone pharyngoesophageal reconstruction at our hospitals. To restore the continuity of the upper enteric tract, conventional skin flaps with or without the underlying muscle were used in 27 and a segmental free intestinal graft by means of microvascular technique was used in 29. Two-thirds of both groups received irradiation therapy before surgery. Fistula formation was encountered in 8 individuals who received a skin flap. This incidence was found to increase with the use of preoperative irradiation. In contrast, no patient developed a fistula among the 29 patients who received the segmental free intestinal graft.
在1978年至1983年的5年期间，共有56例患者在我院接受了咽食管重建手术。为恢复上消化道的连续性，27例患者采用了带或不带其下肌肉的传统皮瓣，29例患者采用了微血管技术进行的节段性游离肠移植。两组中三分之二的患者在手术前接受了放射治疗。接受皮瓣手术的8例患者出现了瘘管形成。发现这种发生率随着术前放疗的使用而增加。相比之下，接受节段性游离肠移植的29例患者中没有患者出现瘘管。
