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Langenbeck's Archives of Surgery
Published in: Langenbeck's Archives of Surgery 5/2004

01-10-2004 | Original Article

Free jejunal graft for hypopharyngeal and esophageal reconstruction

Authors: Yasuhiro Shirakawa, Yoshio Naomoto, Kazuhiro Noma, Ryoko Ono, Tetsuji Nobuhisa, Masahiko Kobayashi, Toshiya Fujiwara, Hirofumi Noguchi, Takaomi Ohkawa, Tomoki Yamatsuji, Minoru Haisa, Junji Matsuoka, Mehmet Gunduz, Noriaki Tanaka

Published in: Langenbeck's Archives of Surgery | Issue 5/2004

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Abstract

Aims

This study assessed the techniques of the free jejunal graft for the reconstruction of hypopharynx or cervical esophagus and discussed the main aspects related to those procedures.

Methods and results

By using free jejunal grafts, we reconstructed 54 hypopharyngeal and cervical esophageal cancers. In this study, 23 out of 54 patients had a malignant tumor located in the hypopharynx and 31 in the cervical esophagus (27 primary cases and four secondary cases). Despite the multi-step and time-consuming procedure, we did not incur any trans-operative complication. Furthermore, we undertook the larynx preserving cervical esophagectomy and free jejunal graft reconstruction in six patients with cervical esophageal cancer, and those patients acquired a good quality of life.

Conclusion

For the reconstruction of hypopharynx or cervical esophagus, the free jejunal graft is a very useful technique and improves the patient’s quality of life.
Literature
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Metadata
Title
Free jejunal graft for hypopharyngeal and esophageal reconstruction
Authors
Yasuhiro Shirakawa
Yoshio Naomoto
Kazuhiro Noma
Ryoko Ono
Tetsuji Nobuhisa
Masahiko Kobayashi
Toshiya Fujiwara
Hirofumi Noguchi
Takaomi Ohkawa
Tomoki Yamatsuji
Minoru Haisa
Junji Matsuoka
Mehmet Gunduz
Noriaki Tanaka
Publication date
01-10-2004
Publisher
Springer-Verlag
Published in
Langenbeck's Archives of Surgery / Issue 5/2004
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-004-0501-z

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