Reconstruction with free jejunal interposition for defect after tumor resection of hypopharyngeal and cervical esophageal cancer / 中华外科杂志
Chinese Journal of Surgery
;
(12): 733-736, 2006.
Artigo
em Chinês
| WPRIM
| ID: wpr-300622
ABSTRACT
<p><b>OBJECTIVE</b>To discuss the use of free jejunal flap in reconstruction for circumferential defect after tumor resection of hypopharyngeal and cervical esophageal cancer.</p><p><b>METHODS</b>Retrospective review of 51 patients who underwent circumferential pharyngoesophageal reconstruction with free jejunal flap after tumor ablation.</p><p><b>RESULTS</b>In 51 patients, 5 had flap failure and the flap success rate was 90% (46/51). Forty-five patients had oral intake after operation excluding one who had anastomosis stenosis and 5 who had flap failure. The 1-year and 3-year survival rate was 62% and 48% respectively. Positive surgical marginal status and external invasion including thyroid gland, carotid artery, skin and pre-vertebral area were indicators for bad prognosis. Except 5 patients who had flap failure, one of which died from mediastinal infection, no other severe complications occurred.</p><p><b>CONCLUSIONS</b>Patients reconstructed with free jejunal flap after resection of hypopharyngeal and cervical esophageal cancer had low mortality and few complications. Those without positive surgical margin and external invasion including thyroid gland, carotid artery, skin and pre-vertebral area had higher survival rate. Most of them had good quality of life. The choice of free jejunal flap for reconstruction of hypopharyngoesophageal defect was appropriate in selected patients who had guarantee of negative surgical margin and no external invasion.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Faringectomia
/
Cirurgia Geral
/
Retalhos Cirúrgicos
/
Neoplasias Esofágicas
/
Neoplasias Hipofaríngeas
/
Taxa de Sobrevida
/
Estudos Retrospectivos
/
Mortalidade
/
Esofagectomia
/
Procedimentos de Cirurgia Plástica
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Surgery
Ano de publicação:
2006
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS