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Esophagus reconstruction with free jejunal transfer
Author(s) -
Pavlovics Gabor,
Cseke Laszlo,
Papp Andras,
Tizedes Gyorgy,
Tabar Bela A.,
Horvath Peter Ors
Publication year - 2006
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.20216
Subject(s) - medicine , esophagus , jejunum , surgery , general surgery
Abstract Following pharyngolaryngectomy, reconstruction is one of the most challenging surgical procedures. Here we review our own experiences using a microvascularly transferred free jejunal graft. This method was performed in 22 patients (19 male and 3 female, aged 40–63 years). Seven patients underwent neoadjuvant chemo‐radiotherapy. Eighteen patients had immediate reconstruction after pharyngolaryngectomy, and 4 patients had delayed reconstruction because of complications from previous surgeries (2 stenoses, and 2 recurrent cancers). The duration of surgery ranged from 5–9 h (mean, 6.3 h), and the ischemic time of the graft was 70–125 min (mean, 88 min). This method has several advantages: it is a one‐step operation; the graft is covered by self‐cleaning mucosa; the development of fistulas and stenoses is rare; and the technique provides good swallowing. Owing to its good blood supply, this reconstructive method can also be used in previously irradiated areas. © 2006 Wiley‐Liss, Inc. Microsurgery 26: 73–77, 2006.