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KMID : 0364019960290121392
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Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 12 p.1392 ~ p.1397
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Free Jejunal Transfer for Benign and Malignant Esophageal Disease -7 Cases Reports-
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신호승
옥창성/박희철/홍기우/서인석/김주섭/이영철/김영민/박해정
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Abstract
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Over the past two years the free jejunal transfer have been used in 7 consecutive patients to restore alimentary tract continuity after the resection of esophagus. Six patients had squamous cell carcinomas and one had esophageal stricture. The
patients
underwent partial esophagectomy with inodified radical neck dissection or mediastinal lymph node dissection. The microvascular anastomosis was performed to the neck vessels in 4 patients and to the intercostal vessels in 3 patients. Postoperative
complications were graft necrosis in one patient, and a temporary anastomotic leakage with spontaneous closure in one patient. Reconstruction of the esophagus was successful in 6 of 7 patients.
We emphasize that esophagectomy followed by transplantation of a free jejunal transfer is suitable for esophageal carcinoma or intractable esophageal stricture, and involvement of the midesophagus is not a contraindication to the use of the free
jejunal
transfer.
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KEYWORD
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