[Technique of microvascular jejunum transfer for replacement of the cervical esophagus].
Technique and results of the first 10 free jejunal grafts after pharyngolaryngectomy are presented. End-to-side venous anastomosis and end-to-side pharyngojejunostomy instead of end-to-end techniques are proposed. Hospital mortality was 0 and as minor complications 1 uncomplicated fistula of the proximal and 1 stenosis of the distal anastomosis along with 1 wound infection were seen. There were no vascular complications and no graft loss. All patients were able to swallow and to eat thus an excellent quality of life was achieved.
Steffen
R
R
Chirurgische Klinik und Poliklinik, Universitätsklinikum Rudolf Virchow, Freien Universität Berlin.
Mayer
B
B
Knoop
M
M
Jahnke
V
V
Neuhaus
P
P
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D001158:Arteries / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007583:Jejunum / Q000637:transplantation*; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D010610:Pharyngeal Neoplasms / Q000601:surgery*; D010611:Pharyngectomy / Q000379:methods*; D011183:Postoperative Complications / Q000401:mortality; D013524:Surgical Flaps / Q000379:methods; D014680:Veins / Q000601:surgery
Technik des mikrovasculären Jejunumtransfers zum Ersatz des cervicalen Oesophagus.