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

doi:10.1007/s00423-004-0501-z

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

Research output: Contribution to journal › Article › peer-review

32 Citations (Scopus)

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 language	English
Pages (from-to)	387-390
Number of pages	4
Journal	Langenbeck's Archives of Surgery
Volume	389
Issue number	5
DOIs	https://doi.org/10.1007/s00423-004-0501-z
Publication status	Published - Oct 2004

Keywords

Esophageal cancer
Esophageal reconstruction
Larynx preserving
Pharyngeal cancer
Pharyngoesophagectomy

ASJC Scopus subject areas

Surgery

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s00423-004-0501-z

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Free jejunal graft for hypopharyngeal and esophageal reconstruction. / Shirakawa, Yasuhiro; Naomoto, Yoshio; Noma, Kazuhiro; Ono, Ryoko; Nobuhisa, Tetsuji; Kobayashi, Masahiko; Fujiwara, Toshiya; Noguchi, Hirofumi; Ohkawa, Takaomi; Yamatsuji, Tomoki; Haisa, Minoru; Matsuoka, Junji; Gunduz, Mehmet; Tanaka, Noriaki.

In: Langenbeck's Archives of Surgery, Vol. 389, No. 5, 10.2004, p. 387-390.

Research output: Contribution to journal › Article › peer-review

Shirakawa, Yasuhiro ; Naomoto, Yoshio ; Noma, Kazuhiro ; Ono, Ryoko ; Nobuhisa, Tetsuji ; Kobayashi, Masahiko ; Fujiwara, Toshiya ; Noguchi, Hirofumi ; Ohkawa, Takaomi ; Yamatsuji, Tomoki ; Haisa, Minoru ; Matsuoka, Junji ; Gunduz, Mehmet ; Tanaka, Noriaki. / Free jejunal graft for hypopharyngeal and esophageal reconstruction. In: Langenbeck's Archives of Surgery. 2004 ; Vol. 389, No. 5. pp. 387-390.

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AU - Nobuhisa, Tetsuji

AU - Kobayashi, Masahiko

AU - Fujiwara, Toshiya

AU - Noguchi, Hirofumi

AU - Ohkawa, Takaomi

AU - Yamatsuji, Tomoki

AU - Haisa, Minoru

AU - Matsuoka, Junji

AU - Gunduz, Mehmet

AU - Tanaka, Noriaki

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N2 - 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.

AB - 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.

KW - Esophageal cancer

KW - Esophageal reconstruction

KW - Larynx preserving

KW - Pharyngeal cancer

KW - Pharyngoesophagectomy

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Free jejunal graft for hypopharyngeal and esophageal reconstruction

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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