Sasaki T M, McConnell D B, Moseley H S, Vetto R M
Am J Surg. 1981 May;141(5):534-6. doi: 10.1016/0002-9610(81)90041-6.
Antethoracic jejunal esophageal reconstruction is an effective alternative method of repair and should be considered when difficulty is expected with the standard approaches. The primary difficulty with this mode of repair is related to the vascular supply of the jejunum. However, with careful evaluation and management of the pedicle, ischemia of the graft may be avoided. If vascularity appears less than optimal, the proximal anastomoses should be delayed and the graft placed in the subfascial tunnel. If the cervical jejunal portion becomes necrotic, this space may be bridged later with an isoperistaltically positioned free graft utilizing microvascular techniques.
胸前位空肠代食管重建术是一种有效的替代修复方法，当预计标准方法会遇到困难时应予以考虑。这种修复方式的主要困难与空肠的血供有关。然而，通过仔细评估和处理蒂部，可以避免移植物缺血。如果血运看起来不太理想，近端吻合应推迟，将移植物置于筋膜下隧道。如果颈部空肠段发生坏死，以后可利用微血管技术用顺蠕动的游离移植物来桥接这个间隙。
