Il prelievo laparoscopico di un lembo libero di digiuno per la ricostruzione dell'esofago cervicale

Translated title of the contribution: Laparoscopic harvest of the jejunal free flap for cervical esophageal reconstruction

M. Bardone, M. Alessiani, S. Zonta, M. Longoni, G. Faillace, M. Benazzo, A. Occhini, P. Dionigi

Research output: Contribution to journalArticlepeer-review

Abstract

The jejunal free flap is a standard technique in the reconstruction of hypopharyngeal and cervical esophageal defects. Conventional harvesting of the jejunal segment is performed with midline open laparotomy, which is associated with complications including prolonged ileus, abdominal pain, wound infection or dehiscence. Laparoscopic resection of the small intestine is a well documented surgical technique. Two different methods of laparoscopic harvest of a jejunal autografts for their cervical implantation have been already described. In both cases, low complication rate and better postoperative course have been observed in the patients treated. During the last 10 years, we have performed 43 circumferential pharyngoesophageal resection for advanced hypo-pharyngeal cancer followed by reconstruction with a free flap of jejunum. All but one the jejunal segments have been harvested with conventional open laparotomy. In the last patient of this group, laparoscopic harvest of the jejunal segment has been successfully performed. In this paper, we describe the laparoscopic technique used and we compare the postoperative course of this patient with those of the patients treated with conventional technique.

Translated title of the contributionLaparoscopic harvest of the jejunal free flap for cervical esophageal reconstruction
Original languageItalian
Pages (from-to)171-175
Number of pages5
JournalMinerva Chirurgica
Volume61
Issue number2
Publication statusPublished - Apr 2006

ASJC Scopus subject areas

  • Surgery

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