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KMID : 0361019920350010116
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Korean Journal of Otolaryngology - Head and Neck Surgery
1992 Volume.35 No. 1 p.116 ~ p.122
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Gastric Pull-up vs. Free Jejunal Graft for Pharyngoesophageal Reconstruction
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추무진
심윤상/오경균/이용식/심영목/조재일/김효윤
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Abstract
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A retrospective analysis was carried out on the results of gastric pull-up operation and free jejunal graft for reconstruction of pharynx and cervical esophagus at Korea Cancer Center Hospital from October 1987 through July 1991. Gastric pull-up
operation was performed in 6 cases of which primary site was 5 hypophryngeal cancer and 1 recurrent laryngeal cancer. Success rate of anastomosis was 83.7%, and overall mortality rate was 16.7%. Free jejunal graft was performed in 7 cases of
which
primary site was 6 hypopharyngeal cancer and 1 recurrent papillary adenocarcinoma of thyroid. Overall mortality rate was 14.3% and success rate of graft was 100% except expired one case due to esophageal varix bleeding. Postoperative
complications
of
gastric pull-up operation were fistula, pneumothorax, atelectasis, pleural effusion, abdominal bleeding, and paralytic ileus, etc. And the complications of free jejunal graft were stenosis of anastomosis site and pneumonia.
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