Abstract
Postoperative complications were evaluated in 139 patients who had undergone conduit reconstruction with free jejunum grafts after total pharyngolaryngoesophagectomy from 1999 through 2004. The patients included 119 men and 20 women, with a mean age of 64.3 years. Factors affecting the development of postoperative complications at the surgical site were analyzed. Postoperative complications at the surgical site were observed in 32 patients (23%) and included total necrosis of the transferred jejunum (2 patients), local abscess (13 patients), lymphorrhea (4 patients), major leakage (4 patients), minor leakage (5 patients), cervical skin necrosis (3 patients), hematoma (2 patients), and flap congestion (1 patient). Statistical analysis revealed that neither preoperative irradiation nor diabetes mellitus affected the rate of postoperative complications. However, small fistulae or local infections may easily develop into a severe complication in patients who have received radiotherapy. In such patients, careful treatment after reconstructive surgery is needed to avoid severe complications.
| Original language | English |
|---|---|
| Pages (from-to) | 352-356 |
| Number of pages | 5 |
| Journal | Toukeibu Gan |
| Volume | 31 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 2005 |
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Keywords
- complication
- free jejunum
- head and neck reconstruction
- hypopharyngeal cancer
- radiation therapy
ASJC Scopus subject areas
- Otorhinolaryngology
- Oncology
Cite this
Analysis of postoperative complications after conduit reconstruction using free jejunum graft. / Sakuraba, Minoru; Sarukawa, Syunji; Asano, Takayuki; Hayashi, Ryuichi; Yamazaki, Mitsuo; Miyazaki, Masakazu; Ugumori, Toru; Daiko, Hiroyuki; Ebihara, Satoshi; Kimata, Yoshihiro.
In: Toukeibu Gan, Vol. 31, No. 3, 2005, p. 352-356.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Analysis of postoperative complications after conduit reconstruction using free jejunum graft
AU - Sakuraba, Minoru
AU - Sarukawa, Syunji
AU - Asano, Takayuki
AU - Hayashi, Ryuichi
AU - Yamazaki, Mitsuo
AU - Miyazaki, Masakazu
AU - Ugumori, Toru
AU - Daiko, Hiroyuki
AU - Ebihara, Satoshi
AU - Kimata, Yoshihiro
PY - 2005
Y1 - 2005
N2 - Postoperative complications were evaluated in 139 patients who had undergone conduit reconstruction with free jejunum grafts after total pharyngolaryngoesophagectomy from 1999 through 2004. The patients included 119 men and 20 women, with a mean age of 64.3 years. Factors affecting the development of postoperative complications at the surgical site were analyzed. Postoperative complications at the surgical site were observed in 32 patients (23%) and included total necrosis of the transferred jejunum (2 patients), local abscess (13 patients), lymphorrhea (4 patients), major leakage (4 patients), minor leakage (5 patients), cervical skin necrosis (3 patients), hematoma (2 patients), and flap congestion (1 patient). Statistical analysis revealed that neither preoperative irradiation nor diabetes mellitus affected the rate of postoperative complications. However, small fistulae or local infections may easily develop into a severe complication in patients who have received radiotherapy. In such patients, careful treatment after reconstructive surgery is needed to avoid severe complications.
AB - Postoperative complications were evaluated in 139 patients who had undergone conduit reconstruction with free jejunum grafts after total pharyngolaryngoesophagectomy from 1999 through 2004. The patients included 119 men and 20 women, with a mean age of 64.3 years. Factors affecting the development of postoperative complications at the surgical site were analyzed. Postoperative complications at the surgical site were observed in 32 patients (23%) and included total necrosis of the transferred jejunum (2 patients), local abscess (13 patients), lymphorrhea (4 patients), major leakage (4 patients), minor leakage (5 patients), cervical skin necrosis (3 patients), hematoma (2 patients), and flap congestion (1 patient). Statistical analysis revealed that neither preoperative irradiation nor diabetes mellitus affected the rate of postoperative complications. However, small fistulae or local infections may easily develop into a severe complication in patients who have received radiotherapy. In such patients, careful treatment after reconstructive surgery is needed to avoid severe complications.
KW - complication
KW - free jejunum
KW - head and neck reconstruction
KW - hypopharyngeal cancer
KW - radiation therapy
UR - http://www.scopus.com/inward/record.url?scp=85009571736&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85009571736&partnerID=8YFLogxK
U2 - 10.5981/jjhnc.31.352
DO - 10.5981/jjhnc.31.352
M3 - Article
AN - SCOPUS:85009571736
VL - 31
SP - 352
EP - 356
JO - Japanese Journal of Head and Neck Cancer
JF - Japanese Journal of Head and Neck Cancer
SN - 1349-5747
IS - 3
ER -