Survival of a free jejunal graft after the resection of its nutrient vessels.
We herein report a new patient with hypopharyngeal squamous cell carcinoma (SCC) who presented with recurrent metastasis in the mesenteric lymph nodes of a transplanted jejunum with resections of the anastomotic artery by means of definitive surgery. Our findings indicate that a path of collateral blood circulation had formed, at least in the mesentery, and although it is usually not predominant, the blood flow predominantly followed the path of collateral blood circulation due to the ligation of the nutrient vessels. The clinical presentation and clinical course are described with a review of the literature.
Department of Head and Neck Surgery, Miyagi Cancer Center, Natori, Japan. ogawa@orl.med.tohoku.ac.jp
Takenori
T
Ogawa
Kazuto
K
Matsuura
Kengo
K
Kato
Takumi
T
Sariishi
Takahiro
T
Goto
Ko
K
Matsumoto
Shigeru
S
Saijo
D000328:Adult; D000714:Anastomosis, Surgical; D001808:Blood Vessels; D002294:Carcinoma, Squamous Cell / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006085:Graft Survival; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000473:pathology* / Q000601:surgery*; D007414:Intestinal Neoplasms / Q000556:secondary* / Q000601:surgery; D007583:Jejunum / Q000098:blood supply* / Q000637:transplantation*; D013152:Splanchnic Circulation; D014182:Transplantation, Autologous