title: [Reconstruction of hypopharyngeal circumferential and cervical esophageal defects with free jejunal interposition in 112 cases].
abstract: OBJECTIVE
  To investigate the results of reconstruction of hypopharyngeal circumferential and cervical esophageal defects with free jejunal transfer.
  
  
  METHODS
  Retrospective review of 112 patients who underwent pharyngoesophageal reconstruction with free jejunal interposition. Analysis was confined to the patients with advanced hypopharyngeal, esophageal or recurrent laryngeal squamous cell cancer. Kaplan-Meier method was used to identify the accumulative survival rate.
  
  
  RESULTS
  The free jejunal success rate was 94.6% (106/112). The pharyngocutaneous fistula rate and anastomoses narrow rate were 8.9% (10/112) and 12.5% (12/96) respectively. The perioperative mortality rate was 1.8% (2/112). Except 1 case of dead, 6 cases with flap failure and 2 cases with laryngeal preservation, other 103 cases had resumed oral feeding.
  
  
  CONCLUSIONS
  The success rate of free jejunal transplantation is high and free jejunal interposition is an ideal reconstruction method for patients who have hypopharyngeal circumferential and cervical esophageal defects after tumor resection.
authors.affiliation: Department of Head and Neck Surgery, Cancer Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing 100021, China.
authors.forename: Dan-gui
authors.initials: DG
authors.lastname: Yan
authors.forename: Bin
authors.initials: B
authors.lastname: Zhang
authors.forename: De-zhi
authors.initials: DZ
authors.lastname: Li
authors.forename: Chi
authors.initials: C
authors.lastname: Mao
authors.forename: Zhen-gang
authors.initials: ZG
authors.lastname: Xu
authors.forename: Ping-zhang
authors.initials: PZ
authors.lastname: Tang
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004938:Esophageal Neoplasms / Q000601:surgery*; D005260:Female; D058752:Free Tissue Flaps; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery*; D007583:Jejunum / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D009333:Neck; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies