J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2931KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 88(9): 1171-1175, 1987

Report on the annual meeting

RECONSTRUCTION OF THE PHARYNGOESOPHAGUS

*) Dept. of Plastic and Reconstrictive Surgery, Tokyo Womens Medical College, Tokyo, Japan
**) The Institute of Gastroenterology, Tokyo Womens Medical College, Tokyo, Japan
***) First Dept. of Surgery, Tokyo Medical and Dental College, Tokyo, Japan

Motohiro Nozaki*), Kenji Sasaki*), Takeshi Hirayama*), Hiroko Ide**), Fujio Hanyu**), Mitsuo Endo***)

For patients who have undergone pharyngeal resection, the main methods of pharyngeal recostruction have been those which either utilized flaps mobilized from an adjacent area or a segment of stomach or colon used as a pedicle graft.
During the 8-year period between 1978 and 1986, for a total of 79 individuals was pharyngeal or upper esophageal reconstruction. To restore the continuity of the upper enteric tract, conventional skin flaps with or without the underlying muscle were used in 40 and a segmental free intestinal graft by means of microvascular technique in 39. Fistula formaton was encountered in 12 individuals who received a skin flap. In contrast, only one patients developed a fistula among the 39 patients who received the segmental free intestinal graft.

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