Free jejunal graft for hypopharyngeal and esophageal reconstruction

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

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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 multistep 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.

Original languageEnglish
Pages (from-to)387-390
Number of pages4
JournalLangenbeck's Archives of Surgery
Volume389
Issue number5
DOIs
Publication statusPublished - Oct 1 2004

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Keywords

  • Esophageal cancer
  • Esophageal reconstruction
  • Larynx preserving
  • Pharyngeal cancer
  • Pharyngoesophagectomy

ASJC Scopus subject areas

  • Surgery

Cite this

Shirakawa, Y., Naomoto, Y., Noma, K., Ono, R., Nobuhisa, T., Kobayashi, M., Fujiwara, T., Noguchi, H., Ohkawa, T., Yamatsuji, T., Haisa, M., Matsuoka, J., Gunduz, M., & Tanaka, N. (2004). Free jejunal graft for hypopharyngeal and esophageal reconstruction. Langenbeck's Archives of Surgery, 389(5), 387-390. https://doi.org/10.1007/s00423-004-0501-z