[下咽癌合并食管癌术后上消化道重建的结肠插管与血管吻合术]。

Q4 Medicine
H L Zhang, P Q Tan, J Chen, J Q Wang, H L Tan, W S Zhong, P X Huang, W X Huang
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引用次数: 0

摘要

目的研究结肠插管与血管吻合术在下咽癌合并食管癌切除术后重建整个食管和下咽的可行性、安全性和有效性。方法:我们对2019年2月至8月在湖南省肿瘤医院头颈外科接受治疗的4例同时患有下咽和食管多发性原发癌的男性患者进行了回顾性分析,患者年龄在47岁至58岁之间。所有病例均行下咽全切除术和食管全切除术,其中3例行喉全切除术,1例行喉保留术。结肠插管术以左结肠动脉为蒂,结肠平均长度为 48.5 厘米。结肠经食管床被抬高至颈部,结肠系膜动脉的分支与颈部动脉之一吻合,包括1例甲状腺下动脉、2例颈横动脉和1例甲状腺上动脉,所有静脉吻合均与颈内静脉吻合。结果术后颈部和腹部伤口愈合良好,无吻合口渗漏,所有患者均能在术后 21-30 天内恢复正常口服饮食。在 48-52 个月的随访期间,2 例患者因肿瘤复发而死亡,其余 2 例患者无病生存。结论结肠插管血管吻合术是一种安全可靠的重建方法,适用于下咽癌合并食管癌切除术后长段上消化道缺损的修复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Colonic interposition with vascular anastomosis for upper digestive tract reconstruction after surgery for hypopharyngeal cancer with esophageal cancer].

Objective: To investigate the feasibility, safety and effectiveness of colonic interposition with vascular anastomosis in reconstructing the entire esophagus and hypopharynx after resection of hypopharyngeal cancer with esophageal cancer. Methods: We conducted a retrospective analysis of 4 male patients with simultaneous multiple primary cancers of the hypopharynx and esophagus, aged 47 to 58, treated in the Department of Head and Neck Surgery at the Hunan Cancer Hospital from February to August 2019. All cases underwent total hypopharyngectomy and total esophagectomy, of whom, three cases presented with total laryngectomy and one case with larynx preservation. Colonic interposition was performed using the left colic artery as a pedicle, with an average colonic length of 48.5 cm. The colon was elevated through the esophageal bed to the neck, and the branch of the colonic mesenteric artery was anastomosed to one of the neck arteries, including the inferior thyroid artery in one case, the transverse cervical artery in two cases, and the superior thyroid artery in one case, and all venous anastomoses were performed with the internal jugular veins. Results: The postoperative neck and abdominal wounds healed well without anastomotic leakage, and all patients were able to resume a regular oral diet within 21-30 days postoperatively. During the follow-up of 48-52 months, two cases died due to tumor recurrence, while the remaining two cases were disease-free survivals. Conclusion: Colonic interposition with vascular anastomosis is a safe and reliable reconstruction method suitable for repairing long-segment upper digestive tract defects after resection of hypopharyngeal cancer with esophageal cancer.

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CiteScore
0.40
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0.00%
发文量
12432
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