DeSanto L W, Carpenter R J
Head Neck Surg. 1980 May-Jun;2(5):369-79. doi: 10.1002/hed.2890020506.
Construction of a new gullet after circumferential resection of the pharynx and upper portion of the esophagus for cancer is a major challenge to the head and neck surgeon. Techniques for reconstruction use cervical skin, adjacent pedicle flaps, and interposed visceral segments. Each technique has its place; none is ideal or free from complication or failure. Cure rates are poor, and unsolved problems remain. The quest for the perfect technique must continue, but the ultimate solution rests not with reconstruction techniques but with earlier diagnosis and elimination of the need for reconstruction.
对于癌症患者，在对咽和食管上段进行环形切除术后构建新的食管对头颈外科医生来说是一项重大挑战。重建技术包括使用颈部皮肤、相邻带蒂皮瓣以及插入的内脏段。每种技术都有其适用之处；但没有一种是理想的，也都存在并发症或失败的风险。治愈率很低，未解决的问题依然存在。对完美技术的探索必须继续，但最终的解决方案不在于重建技术，而在于早期诊断并消除重建的必要性。
