[Vascular anastomoses in free jejunal reconstruction to the neck vessels: an experience of consecutive 20 cases without using surgical microscope].
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.
Utoh
J
J
First Department of Surgery, Kumamoto University School of Medicine, Japan.
Tabira
Y
Y
Moriyama
S
S
Sun
R
R
Yasunaga
M
M
Nagamoto
N
N
Sakaguchi
T
T
Kitamura
N
N
Eura
S
S
Samejima
Y
Y
Masuyama
K
K
Yumoto
E
E
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*