Immediate reconstruction of cervical esophagus with a revascularized isolated jejunal segment.

概要

論文の詳細を見る
We described our experience with a revascularized isolated jejunal segment for the immediate reconstruction of cervical esophagus.The first patient was a 62-year-old man who was admitted with the chief complaint of dysphagia. Esophagograms revealed cervical esophageal cancer associated with laryngeal involvement.The second patient was a 60-year-old woman with a previous history of disseminated breast cancer. She was admitted to our hospital suffering from severe dysphagia and weight loss. Esophagograms and CT-scan revealed marked constriction and displacement of the cervical esophagus at C5-7 levels.These two patients were treated by laryngoesophagectomy combined with bilateral neck dissections. The deficient portion of esophagus was reconstructed with revasculized isolated jejunal segment, and a permanent tracheostoma was formed. In these cases, jejunal vessels were anastomosed to the superior thyroid/lingual artery, and internal jugular vein, respectively. Other technical details were essentially the same as described by other authors.No serious postoperative complications were associated with this operative procedure, and postoperative digestive functions of these patients were satisfactory.We confirmed that a revasculized isolated jejunal segment was a reliable and effective method of reconstructing the cervical esophagus with a high success rate and low mortality.
一般社団法人国立医療学会の論文