title: [Vascular anastomoses in free jejunal reconstruction to the neck vessels: an experience of consecutive 20 cases without using surgical microscope].
abstract: Twenty consecutive cases of pharyngoesophageal cancer who underwent free jejunal reconstruction were reported. The common carotid or external carotid artery was used for a feeder of the free graft. The internal jugular vein were served as a drainage vein. All anastomoses were performed in an end-to-side fashion without using surgical microscopes. Mean carotid artery clamping time was 16 minutes and no neurological complications were noticed postoperatively. Graft failure was occurred in 1 patient. The presenting technique, showing 95% success rate, is recommended as a simple option for vascular anastomosis in free jejunal reconstructive surgery.
authors.affiliation: First Department of Surgery, Kumamoto University School of Medicine, Japan.
authors.forename: J
authors.initials: J
authors.lastname: Utoh
authors.forename: Y
authors.initials: Y
authors.lastname: Tabira
authors.forename: S
authors.initials: S
authors.lastname: Moriyama
authors.forename: R
authors.initials: R
authors.lastname: Sun
authors.forename: M
authors.initials: M
authors.lastname: Yasunaga
authors.forename: N
authors.initials: N
authors.lastname: Nagamoto
authors.forename: T
authors.initials: T
authors.lastname: Sakaguchi
authors.forename: N
authors.initials: N
authors.lastname: Kitamura
authors.forename: S
authors.initials: S
authors.lastname: Eura
authors.forename: Y
authors.initials: Y
authors.lastname: Samejima
authors.forename: K
authors.initials: K
authors.lastname: Masuyama
authors.forename: E
authors.initials: E
authors.lastname: Yumoto
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D017536:Carotid Artery, Common / Q000601:surgery; D002342:Carotid Artery, External / Q000601:surgery; D004938:Esophageal Neoplasms / Q000601:surgery; D004944:Esophagoplasty / Q000379:methods*; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery; D007583:Jejunum / Q000098:blood supply / Q000637:transplantation*; D007601:Jugular Veins / Q000601:surgery; D008866:Microsurgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*