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Free jejunal graft for repair of cervical esophagus

✍ Scribed by Dr. A. Sohrabi; Pourandokht Nowzari; M. Ashairi; A. Moghari; Alvin Watne

Publisher: John Wiley and Sons
Year: 1989
Tongue: English
Weight: 947 KB
Volume: 42
Category: Article
ISSN: 0022-4790
DOI: 10.1002/jso.2930420307

No coin nor oath required. For personal study only.

✦ Synopsis

We have operated upon six patients with cervical esophageal carcinoma and reconstructed these with free jejunal graft. The pathology of all six patients was squamous cell carcinoma, and no patient had apparent distant metastasis. The procedure was a two team approach. While the surgical oncology team resected the esophageal tumor, the microvascular team harvested the jejunal graft. The range of warm ischemia for the free jejunal graft was 1-2.5 hr, and no graft was lost because of recirculation failure. The range of operative time was 5-6.5 hr. There was no operative mortality. There were two minor cervical wound infections, both healed with conservative management. Hospital stay ranged from 10 to 15 days. The swallowing mechanism was satisfactory in all patients. We believe that the free jejunal graft is the procedure of choice for reconstruction of the cervical esophagus.

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