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Forty-four patients with cancer in the hypopharynx and cervical esophagus underwent pharyngoesophageal reconstruction with a free jejunal graft after total removal of a tumor combined with resection of the circumferential tissues. The graft survival rate was 93.2% (41 of 44). Postoperative complications occurred in 16 patients (36.4%), which included postoperative death in one (2.3%), graft necrosis in 3 (6.8%), fistula formation in 4 (9.1%) and graft stricture in 3 (6.8%). All 3 cases of graft necrosis underwent successfully reimplantation. The mean interval time was 20.9 days until oral intake was possible. Thirty-two of 42 patients (76.2%) were able to take usual food. Esophageal speech was limited in the selected cases by this procedure. A cumulative survival rate of 5 years was 40.6% in this series. This method of reconstruction should be advocated as one of relatively safe and reliable procedures for patients with hypopharyngeal and cervical esophageal cancer.
S Takooda, and
W Nishijima, and
H Usui, and
A Ikeda, and
T Negishi, and
H Hentona, and
S Maeda, and
H Muraoka
January 2000,
Acta chirurgica Iugoslavica,
S Takooda, and
W Nishijima, and
H Usui, and
A Ikeda, and
T Negishi, and
H Hentona, and
S Maeda, and
H Muraoka
September 1984,
Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...,
S Takooda, and
W Nishijima, and
H Usui, and
A Ikeda, and
T Negishi, and
H Hentona, and
S Maeda, and
H Muraoka
October 1980,
American journal of surgery,
S Takooda, and
W Nishijima, and
H Usui, and
A Ikeda, and
T Negishi, and
H Hentona, and
S Maeda, and
H Muraoka
January 1991,
Chirurgie; memoires de l'Academie de chirurgie,
S Takooda, and
W Nishijima, and
H Usui, and
A Ikeda, and
T Negishi, and
H Hentona, and
S Maeda, and
H Muraoka
July 2009,
Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract,
S Takooda, and
W Nishijima, and
H Usui, and
A Ikeda, and
T Negishi, and
H Hentona, and
S Maeda, and
H Muraoka
January 2013,
Hepato-gastroenterology,
S Takooda, and
W Nishijima, and
H Usui, and
A Ikeda, and
T Negishi, and
H Hentona, and
S Maeda, and
H Muraoka
September 2001,
Nihon Geka Gakkai zasshi,
S Takooda, and
W Nishijima, and
H Usui, and
A Ikeda, and
T Negishi, and
H Hentona, and
S Maeda, and
H Muraoka
April 1978,
Clinics in plastic surgery,
S Takooda, and
W Nishijima, and
H Usui, and
A Ikeda, and
T Negishi, and
H Hentona, and
S Maeda, and
H Muraoka
September 2014,
Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery,
S Takooda, and
W Nishijima, and
H Usui, and
A Ikeda, and
T Negishi, and
H Hentona, and
S Maeda, and
H Muraoka
April 1990,
Journal of reconstructive microsurgery,
