ESOPHAGEAL RECONSTRUCTION USING MICROVASCULAR ANASTOMOSIS TO THE THORACOACROMIAL ARTERY AND CEPHALIC VEIN

被引：6

作者：

FUJITA, H

INOUE, Y

KAKEGAWA, T

YAMANA, H

SHIROZU, G

MINAMI, T

TAI, Y

机构：

[1] The First Department of Surgery, Kurume University School of Medicine, Kurume, 830, 67 Asahi-machi, Kurume

[2] Department of Plastic and Reconstructive Surgery, Kurume University School of Medicine, Kurume, 830, 67 Asahi-machi, Kurume

来源：

JAPANESE JOURNAL OF SURGERY | 1991年 / 21卷 / 05期

关键词：

ESOPHAGEAL RECONSTRUCTION; FREE GUT TRANSFER; COLONIC PEDICLE GRAFT; THORACOACROMIAL ARTERY; CEPHALIC VEIN; MICROVASCULAR SURGERY;

D O I：

10.1007/BF02470987

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

For reconstruction of the pharynx and cervical esophagus following pharyngolaryngoesophagectomy, free gut transfer revascularized to such cervical vessels as the cervical transverse artery and external jugular vein is commonly performed. However, for reconstruction of the esophagus in the cervicothoracic junction or anterior to the chest wall, using the cervical vessels has more disadvantages than using the vessels in the chest wall. Thus, we developed a method of using the thoracoacromial artery and cephalic vein for vascular anastomoses of a free jejunal graft and report herein our results in six cases. Three of these cases underwent reconstruction for an esophageal defect anterior to the chest wall, while the other three underwent reconstruction of the thoracic esophagus using a colonic pedicle graft. Satisfactory results were obtained in five of the six cases. Therefore, we recommend the use of the thoracocromial artery and cephalic vein in vascular anastomoses during a free gut transfer or colonic pedicle graft for reconstruction of the esophagus anterior to the chest wall.

引用

页码：512 / 516

页数：5

共 10 条

[1]

Seidenberg B., Rosenak S.S., Hurwitt E.S., Som M.L., Immediate reconstruction of the cervical esophagus by a revascularized isolated jejunal segment, Ann Surg, 149, pp. 162-171, (1959)

[2]

Nakayama K., Yamamoto K., Tamiya T., Makino H., Ogaka M., Ohwada M., Takahashi H., Experience with free autografts of the bowel with a new venous anastomosis apparatus, Surgery, 55, pp. 796-802, (1964)

[3]

Nakamura T., Inokuchi K., Sugimachi K., Use of revascularized jejunum as a free graft for cervical esophagus, Jpn J Surg, 5, pp. 92-102, (1975)

[4]

McKee D.M., Peters C.R., Reconstruction of the hypopharynx and cervical esophagus with microvascular jejunal transplant, Clin Plast Surg, 5, pp. 305-312, (1978)

[5]

Flynn M.B., Acland R.D., Free intestinal autograft for reconstruction following pharyngolaryngoesophagectomy, Surg Gynecol Obstet, 149, pp. 858-862, (1979)

[6]

Harashina T., Kakegawa T., Imai T., Suguro Y., Secondary reconstruction of the oesophagus with free revascularized ileal transfer, Br J Plast Surg, 34, pp. 17-22, (1981)

[7]

Pernkopf E., Ferner H., Atlas der topographischen und angewandten Anatomie des Menschen, (1963)

[8]

Thorek P., Anatomy in Surgery, pp. 630-654, (1962)

[9]

Nozaki M., Sasaki K., Hirayama T., Takeoda S., Ide H., Endo M., Free gut transfer for the cervical esophageal defect associated with resection of the skin, Geka Mook, 51, pp. 79-91, (1988)

[10]

Miyata M., Shibusawa H., Hirabayashi S., Harii K., Reconstruction of the thoracic esophagus with application of microsurgery, Geka Mook, 51, pp. 93-100, (1988)

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