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

[Abstract] [Full Text PDF] （in Japanese / 3764KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 102(9): 642-646, 2001

Feature topic

RECONSTRUCTION AFTER CERVICAL ESOPHAGECTOMY USING A FREE JEJUNAL GRAFT

1) Department of Surgery, Institute of Gastroenterology, Tokyo Woman's Medical University, Tokyo, Japan
2) Department of Surgery, Institute of Plastic Surgery, Tokyo Woman's Medical University, Tokyo, Japan

Hiroko Ide1), Reiki Eguchi1), Tsutomu Nakamura1), Masaho Ota1), Kousuke Narumiya1), Mikihiro Nozaki2)

Reconstruction after cervical esophagectomy using a free jejunal graft and forming an additional “vocal canal" are described. It is necessary to pay attention to several points, for example, selection of the lejunal graft, selection of the cervical vessels for anastomosis, technique of hypopharyngeal-jejunal anastomosis, and postoperative management of the anastomotic vessels. These contribute to the improvament of patient quality of life. Forming an additional “vocal canal" in patients who underwent radical surgery is particularly desirable. In this article, we introduce our operative method.

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