空腸遊離移植による下咽頭頸部食道再建術 : 2症例の経験

概要

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Reconstruction of hypopharynx and cervical esophagus after laryngopharyngoesophagectomy using free jejunal graft was done on two patients with hypopharyngeal cancer.This procedure was performed with a term approach; the responsibility of head and neck surgeonsteam was to resect the tumor. General surgeonsteam harvested a jejunal graft. Plastic surgeonsteam performed its micro-vascular surgery, and again general surgeonsteam anastomosed the jejunal graft to the pharynx and the esophagus. Thus one-stage reconstruction was completed. No post-operative complication was encountered. These patients were able to take a regular diet by 20 and 26 postoperative days respectively. We consider this method of reconstruction is acceptable and reliable. Its advantage over the other methods of reconstruction is that it is a one-stage technique with, probably, a low incidence of post-operative complication.In this paper, we emphasized this method is excellent for the reconstruction in the patients with hypopharyngeal cancer.
社団法人日本耳鼻咽喉科学会の論文