Free jejunum reconstruction and laryngeal preservation for squamous cell carcinoma in the pharyngoesophageal junction / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
; (12): 543-547, 2014.
Article
in Zh
| WPRIM
| ID: wpr-233852
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>Try to use free jejunum flaps reconstruction and laryngeal preservation for squamous cell carcinoma (SCC) in the pharyngoesophageal junction.</p><p><b>METHODS</b>Thirteen patients who underwent resections of SCC in the pharyngoesophageal junction with free jejunal interposition from August 2007 to December 2012 were reviewed. Of them, 8 had T3 lesions, 4 had T4 lesions, and one had radiation failure with rT2 lesion. Ten patients were treated with postoperative radiotherapy with a average dosage of 56 Gy.</p><p><b>RESULTS</b>The 3 year over all survival rate was 47.9% and disease-specific survival rate was 34.2%. The surgical complications occurred in 9 patients (9/13), including one death and one flap failure. Five patients (5/13) had permanent tracheal canulation, 10 patients (10/13) resumed oral feeding and all patients achieved reasonable speech.</p><p><b>CONCLUSION</b>Free jejunum interposition can be used to reconstruct surgical defect of SCC in the pharyngoesophageal junction, thus preserving the larynx and ensuring a better quality of life for the patients.</p>
Full text:
1
Database:
WPRIM
Main subject:
Postoperative Complications
/
Quality of Life
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General Surgery
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Surgical Flaps
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Anastomosis, Surgical
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Carcinoma, Squamous Cell
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Survival Rate
/
Plastic Surgery Procedures
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Esophagus
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Jejunum
Aspects:
Patient_preference
Limits:
Humans
Language:
Zh
Journal:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Year:
2014
Document type:
Article