RECONSTRUCTION OF HYPOPHARYNX AND CERVICAL ESOPHAGUS USING A FREE JEJUNAL GRAFT

• Published in: Nippon Jibi Inkoka Gakkai Kaiho Vol. 94; no. 1; pp. 41 - 45
• Main Authors: NEGISHI, TATSUROO, HENTONA, HITOSHI, MURAOK, HIDEKI, NISHIJIMA, WATARU, USUI, HIROYUKI, TAKOODA, SHOJI, MAEDA, SOOKEI, IKEDA, ATSUKO
• Format: Journal Article
• Language: English; Japanese
• Published: Japan The Oto-Rhino-Laryngological Society of Japan, Inc 1991
• Subjects: Adult; Aged; Aged, 80 and over; Esophageal Neoplasms - surgery; Esophagoplasty - methods; Female; Graft Survival; Humans; Hypopharyngeal Neoplasms - surgery; Hypopharynx - surgery; Jejunum - transplantation; Male; Middle Aged
• ISSN: 0030-6622; 1883-0854
• DOI: 10.3950/jibiinkoka.94.41

Forty-four patients with cancer in the hypopharynx and cervical esophagus underwent pharyngoesophageal reconstruction with a free jejunal graft after total removal of a tumor combined with resection of the cirumferential tissues. The graft survival rate was 93.2% (41 of 44). Postoperative complications occurred in 16 patients (36.4%), which included postoperative death in one (2.3%), graft necrosis in 3 (6.8%), fistula formation in 4 (9.1%) and graft stricture in 3 (6.8%). All 3 cases of graft necrosis underwent successfully reimplantation. The mean interval time was 20.9 days until oral intake was possible. Thirty-two of 42 patients (76.2%) were able to take usual food. Esophageal speech was limited in the selected cases by this procedure. A cumulative survial rate of 5 years was 40.6% in this series. This method of reconstruction should be advocated as one of relatively safe and reliable procedures for patients with hypopharyngeal and cervical esophageal cancer.