Reconstruction with free jejuna flap for the defect after removal of hypopharyngeal and cervical esophageal caneer: clinical analyses of 103 cases

• Published in: Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery Vol. 51; no. 12; p. 914
• Main Authors: Xu, W, Lyu, Z H, Zou, J D, Ma, J K, Sa, N, Cao, H Y
• Format: Journal Article
• Language: Chinese
• Published: China 07-12-2016
• Subjects: Esophageal Neoplasms - surgery; Esophagectomy; Female; Free Tissue Flaps; Humans; Hypopharyngeal Neoplasms - mortality; Hypopharyngeal Neoplasms - surgery; Hypopharynx - surgery; Jejunum; Laryngectomy; Male; Neck Dissection - statistics & numerical data; Pharyngectomy; Postoperative Complications; Reconstructive Surgical Procedures - adverse effects; Reconstructive Surgical Procedures - methods; Reconstructive Surgical Procedures - mortality; Retrospective Studies; Surgical Flaps; Survival Rate
• ISSN: 1673-0860
• DOI: 10.3760/cma.j.issn.1673-0860.2016.12.007

To report our experience in reconstruction with free jejunal flap for circumferential defect following resection of hypopharygeal and cervical esophageal carcinoma.
A retrospective analysis was conducted to evaluate the outcomes of reconstruction with free jejunal flaps for circumferential defects in 103 patients treated from Aug 2008 to Mar 2015. Among them, 84 were hypopharyngeal carcinoma and 19 were cervical esophageal carcinoma; 31 patients had total pharyngolaryngectomy, 70 had total pharyngolaryngectomy and cervical esophagectomy and 2 had laryngeal preservation. All patients underwent bilateral neck dissection and 84 underwent retropharyngeal lymph node dissection.
The 3 year overall survival rate was 51.6% and disease-specific survival rate was 50%. The 5 year overall survival rate was 39.1%. No in-hospital death, one patient had unsalvageable flap failure and underwent second reconstruction with free jejunal flap. The success rate for the free jejunal flaps was 99% (102/103). Pharyngocutanous fistul