[Free small intestine transplantation with microvascular anastomosis for complete replacement of the hypopharynx and cervical esophagus].
12 patients were operated on due to a cancer of the hypopharynx (T2-T4, N2-3). After resection, the reconstruction was performed with a free jejunal segment. Intraoperatively the venous anastomosis had to be renewed in 2 cases. One of these patients developed postoperatively a partial necrosis of the transplant. A further patient developed an insufficiency of the proximal anastomosis. One patient died on the 12th postoperative day due to a myocardial infarction. The median survival time was 17 months.
Böttger
T
T
Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes-Gutenberg-Universitätsklinik Mainz.
Bumb
P
P
Junginger
T
T
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods*; D004947:Esophagus / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D007013:Hypopharynx / Q000473:pathology / Q000601:surgery*; D007583:Jejunum / Q000473:pathology / Q000637:transplantation*; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D015996:Survival Rate; D013536:Suture Techniques
Das freie Dünndarmtransplantat mit mikrovasculärem Anschluss zum vollständigen Ersatz des Hypopharynx und cervicalen Oesophagus.