gms | German Medical Science

83. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

16.05. - 20.05.2012, Mainz

Reconstruction of hypopharyngeal and cervical esophageal defects: Free flaps or free jejunal transfer?

Meeting Abstract

Suche in Medline nach

  • Hongliang Zheng - Changhai Hospital, Second Military Medical University, Shanghai, P.R. China
  • Shicai Chen - Changhai Hospital, Second Military Medical University, Shanghai, P.R. China
  • Meng Li - Changhai Hospital, Second Military Medical University, Shanghai, P.R. China
  • Caiyun Zhang - Changhai Hospital, Second Military Medical University, Shanghai, P.R. China
  • Donghui Chen - Changhai Hospital, Second Military Medical University, Shanghai, P.R. China
  • Minhui Zhang - Changhai Hospital, Second Military Medical University, Shanghai, P.R. China

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 83. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Mainz, 16.-20.05.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12hnod046

doi: 10.3205/12hnod046, urn:nbn:de:0183-12hnod0460

Veröffentlicht: 4. April 2012

© 2012 Zheng et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: To choose the optimal reconstruction method for hypopharyngeal and cervical esophageal defects due to the resection operations between free flaps ( consists of free radial forearm flap and free antero-lateral thigh flap) and free jejunium transfer.

Methods: Retrospective review of the archives of 56 patients from 2002 to 2007 who underwent pharyngoesophageal reconstruction with free flaps (n=32) or free jejunal transfer (n=24),compare on the basis of indication, surgery-related complication rate, mortality rate and hospitalization duration.

Results: The overall 3 year survival rate of free flap group and free jejunal transfer group was 68.9%, 59.8% respectively. The overall rate of complication rate was 18.7%, 8.3% respectively. The were no death cases in both groups, The mean hospitalization duration was 30 days and 21 days. The differences between both groups was of no statistically significance.

Conclusions: There are various kinds of reconstruction methods for the hypopharyngeal and cervical esophageal defects, free flaps and free jejunal transfer are the two most common of them, and each has its own advantages and disadvantages respectively. Indications should be strictly chosen. We should choose reconstruction stragegy according to the site and extent of the lesion, the general condition of the patients, radio therapy requirement and the operation habits of the surgeon and his/her microsurgery level.