[Reconstruction with free jejunal graft after pharyngo-esophageal resection for cancer: functional results and survival].
57 patients with cancer of the hypopharynx underwent 59 pharyngo-esophageal reconstructions with a free jejunal graft after total removal of a tumor combined with resection of the circumferential tissues. 18 patients had been previously irradiated. Median resumption of oral intake was 16 days; 40 out of 50 patients (98%) followed for more than 2 years regained normal eating habits. The cumulative 5-year survival rate was 44%. The free jejunal graft should be advocated as a safe and reliable procedure for hypopharyngeal cancer.
Triboulet
J P
JP
Service de Chirurgie Générale et Endocrinienne, Hôpital Cl.-Huriez, Lille.
Bizard
J P
JP
Chevalier
D
D
N'Guyen
K T
KT
Patenotre
P
P
Erb
C
C
D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000401:mortality / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000401:mortality / Q000601:surgery*; D007582:Jejunostomy; D007583:Jejunum / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013524:Surgical Flaps; D013965:Thyroidectomy
Reconstruction par greffon jéjunal libre après exérèse pharyngo-oesophagienne pour cancer: résultats fonctionnels et survie.