Clinical experience with a use of the doublefolded free jejunal graft constructed with the pouch stapling technique for reconstruction after pharyngolaryngectomy for infrapharyngeal cancer. Report of three cases.
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- HIROSE Hikaru
- Department of Surgery, Shimada Municipal Hospital
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- KADOKAWA Yoshio
- Department of Surgery, Shimada Municipal Hospital
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- HOSOMURA Naohiro
- Department of Surgery, Shimada Municipal Hospital
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- YOSHITOMI Shoichi
- Department of Surgery, Shimada Municipal Hospital
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- KIMURA Takahiko
- Department of Surgery, Shimada Municipal Hospital
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- YAGI Makoto
- Department of Surgery, Shimada Municipal Hospital
Bibliographic Information
- Other Title
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- 下咽頭癌切除後遊離空腸パウチにて再建した3例
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Abstract
Reconstructive operation using a free jejunal graft that was doublefolded and pouched with a use of an endostapler was perfomed after phyngolaryngectomy in three patients with infrapharyngeal cancer. The grafting was successful in all patients without any complication due to the procedures. Free jejunal graft which has the histological advantage in that it restores the continuity of the mucous membrane, has become the first choice tissue material for reconstructive surgery because of recent technical progress and spread of the microvascular surgery. However, the graft is replaced merely as a passive conduit in the pharyngolaryngectomy that would deteriorate the second phase of the physiological swallowing. There should be some place to pursue the optimal design of the graft conduit for satisfactory passage. We report our trial to make the doublefolded pouched jejunal graft using the staplers, so that the long defect between the pharyngeal end and the esophagus with large caliber discrepancy can be reconstructed conceptually in a simple straight end to end anastomosis.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 61 (12), 3223-3226, 2000
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390001204845474048
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- NII Article ID
- 130003432547
- 10008504889
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed