하인두암에서 후두인두 및 경부 식도 전 적출술 후 유리 공장 이식술의 합병증에 대한 후향적 분석

• 영문명: Retrograde Analysis of Complications of Jejunal Free Flap after Total Pharyngo-Laryngo-Cervical Esophagectomy in Advanced Hypopharyngeal Cancer Treatment
• 발행기관: 대한두경부종양학회
• 저자명: 민현진(Hyun Jin Min) 현동우(Dong Woo Hyun) 김영호(Young Ho Kim) 최은창(Eun Chang Choi) 김광문(Kwang Moon Kim) 김세헌(Se Heon Kim)
• 간행물 정보: 『대한두경부종양학회지』제24권 제1호, 43~46쪽, 전체 4쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2008.05.30

영문 초록

Hypophayngeal cancers are usually diagnosed in advanced stages and in many cases, they need total pharyngo-cervical esophagectomy and surgical reconstruction. Among many surgical reconstructive methods, jejunal free flap has anatomical and functional advantages such as tubed nature, peristaltic activity, excellent blood supply. In this study we analysed the surgical procedure and complications of jejunal free flap after total pharyngo-cervical esophagectomy. 20 cases performed jejunal free flap from 1995 to 2007 at Severance Hospital were reviewed. According to time of onset, early and late complications were reviewed. Surgical procedure was reviewed with operation record. Oral diet tolerance was reviewed on the basis of pharyngogram and subjective symptoms. The most common complication was stricture, and it occurred in 40% of cases and 63% of them were managed with conservative care. As early complication, fistula formation was all managed with conservative care. Oral feeding tolerance after jejunal free flap was 65% and 7 patients were tolerable to general diet. In our study, stricture was the most common complication and its management is important in post op oral diet tolerance.

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키워드

Hypopharyngeal cancer Jejunal free flap Tubed radial forearm free flap 하인두암 유리 공장 피판 원통형 전완근 유리 피판.