[Laparoscopy-assisted harvesting of free small intestine transplants for reconstruction of voice and deglutition after total laryngopharyngectomy--an animal experiment study].
Based on animal trials the presented study results describe a laparoscopic assisted removal of an extra-long free jejunal graft to reconstruct voice and swallowing after a total laryngo-pharyngectomy in cases with advanced malignancies of the larynx including invasion in the upper oesophagus. With a microvascular anastomosed small bowel segment, we have been able to reconstruct parts of the pharynx and to create a speaking syphon as devised by Ehrenberger in an one-stage procedure. The concept of avoidance of an extensive laparotomy may result in an decreased morbidity of this surgical procedure. Therefore it represents a challenging single indication of minimally invasive surgery of the oesophagus. A well established interdisciplinary teamwork is the key for success in this extensive procedure.
Chirurgische Klinik, Carl-Thiem-Klinikum Cottbus.
F
F
Marusch
A
A
Koch
J
J
Kluge
R
R
Stöbe
P
P
Immer
I
I
Gastinger
D000818:Animals; D007583:Jejunum / Q000637:transplantation*; D020706:Laparoscopes; D007825:Laryngectomy / Q000295:instrumentation*; D008297:Male; D010611:Pharyngectomy / Q000295:instrumentation*; D013071:Speech, Alaryngeal; D013524:Surgical Flaps; D013552:Swine
Laparoskopisch assistierte Entnahme freier Dünndarmtransplantate zur Rekonstruktion von Stimm- und Schluckfunktion nach totaler Laryngopharyngektomie--Eine tierexperimentelle Untersuchung.