胸肩峰动脉、头静脉微血管吻合食管重建术。

H Fujita, Y Inoue, T Kakegawa, H Yamana, G Shirozu, T Minami, Y Tai
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引用次数: 6

摘要

对于咽咽食管切除术后咽喉及颈部食管的重建,通常采用经颈横动脉、颈外静脉等颈部血管血运的游离肠转移。然而,对于颈胸交界处或胸壁前的食道重建,使用颈血管比使用胸壁血管有更多的缺点。因此,我们开发了一种使用喉肩峰动脉和头静脉进行游离空肠移植物血管吻合的方法,并在此报告我们6例的结果。其中3例因胸壁前的食管缺损进行了重建,而另外3例则通过结肠蒂移植进行了胸食管重建。6例中有5例获得满意的结果。因此,我们建议在游离肠移植或结肠蒂移植中使用胸肩峰动脉和头静脉进行血管吻合,以重建食管前胸壁。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Esophageal reconstruction using microvascular anastomosis to the thoracoacromial artery and cephalic vein.

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 throracoacromial 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 thoracoacromial 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.

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