自体空肠移植重建下咽颈段食管的临床疗效分析(附九例报道)

目的:探讨自体空肠移植重建下咽颈段食管的应用及临床疗效。方法:回顾性分析自体空肠移植重建下咽颈段食管的9例病例,均为下咽癌,其中1例癌肿侵及颈段食管。术中切除全下咽、颈段食管、全喉,同时行颈淋巴清扫,用自体空肠移植进行消化道重建。结果:术后移植肠管全部成活,随访1~22个月,未出现癌肿复发和死亡。结论:对于下咽颈段食管等部位肿瘤,根治后形成环周缺损,用自体空肠移植进行消化道重建,是一个较好的选择。

The Free Jejunal Autograft for Reconstruction of Hypopharyngeal and Cervical Esophageal Defects(a Report of 9 Cases)

Objective: To assess the application and effect of free jejunal autograft for the reconstruction of hypopharyngeal and cervical esophageal defects.Methods:A retrospective review of 9 patients who underwent hypopharyngeal and cervical esophageal reconstruction with free jejunal autograft was accomplished.All the patients who suffered from hypopharyngeal carcinoma were subjected to resection of the hypopharynx,cervical esophagus and larynx.Neck dissection was carried out for all patients.They received reconstruction of hypopharynx and cervical esophagus with free jejunal autograft.Results:The operations of all patients were succeeded,no putrescence of jejunal flap appeared.The overall follow-up was from 1 to 22 months,no recurrence of tumor and death.Conclusion:To the carcinoma of hypopharynx and cervical esophagus,tubular defects appeared after the radical cure.It is an excellent choice for the gastrointestinal reconstruction with the free jejunal autograft.