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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Standardization of free jejunum transfer after total pharyngolaryngoesophagectomy.
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Standardization of free jejunum transfer after total pharyngolaryngoesophagectomy.

机译：完全咽喉食管切除术后自由空肠转移的标准化。

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摘要

OBJECTIVE: Our latest free jejunum transfer procedure was reviewed and compared with previous procedures to standardize the operation. METHODS: This was a retrospective study of 269 patients who had undergone total pharyngolaryngoesophagectomy and free jejunum transfer from 1992 through 2004. The patients were divided into two groups: a late group, in which surgery was performed with our latest standard procedure from 2000 through 2004, and an early group, in which various procedures had been used from 1992 through 1999. Surgical times, postoperative progress, and complications were evaluated. RESULTS: The mean surgical time was shortened from 3 hours 25 minutes in the early group to 3 hours 9 minutes in the late group, and ischemic time was shortened from 2 hours 44 minutes to 2 hours 20 minutes. For recipient vessels, branches of the external carotid artery and the internal jugular vein were more often used in the late group. Length of hospitalization decreased from 31.7 days in the early group to 24.4 days in the late group, although the start of drinking was similar (15.4 days versus 12.1 days). The rates of complications were significantly reduced in the late group, particularly those associated with the enteric anastomosis such as minor leakage (18.2-5.2%) and stenosis (17.6-3.0%). CONCLUSION: Our latest method of free jejunum transfer reconstruction has become reliable and expeditious through simple and stable minor revisions of procedures.
机译：目的：我们对最新的免费空肠转移程序进行了审查，并与以前的程序进行了比较，以标准化手术。方法：这是一项回顾性研究，对从1992年至2004年接受全喉咽空肠切除术和自由空肠转移的269例患者进行了研究。患者分为两组：晚期组，从2000年至2004年采用我们最新的标准程序进行手术，以及一个早期小组，从1992年至1999年使用了各种程序。评估了手术时间，术后进展和并发症。结果：平均手术时间从早期组的3小时25分钟缩短到晚期组的3小时9分钟，缺血时间从2小时44分钟缩短到2小时20分钟。对于受体血管，晚期组更常使用颈外动脉和颈内静脉分支。住院时间从早期组的31.7天减少到晚期组的24.4天，尽管开始饮酒的时间相似（分别为15.4天和12.1天）。晚期组的并发症发生率显着降低，尤其是与肠吻合相关的并发症，例如轻微渗漏（18.2-5.2％）和狭窄（17.6-3.0％）。结论：我们最新的免费空肠转移重建方法通过简单，稳定的小程序修改已变得可靠，迅速。

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