caa a22 4500 475790537 CHVBK 20180406123709.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1007/s004230050008 doi (NATIONALLICENCE)springer-10.1007/s004230050008 Reconstruction after total pharyngolaryngoesophagectomy [Elektronische Daten] Comparison of elongated stomach roll with microvascular anastomosis with gastric pull up reconstruction or something like that [Noriaki Sagawa, Shunichi Okushiba, Koichi Ono, Kiyotaka Ito, Toshiaki Morikawa, Satoshi Kondo, Hiroyuki Katoh] Abstract : Background: We have performed total pharyngolaryngoesophagectomy in case of double cancer, head-neck and thoracic esophageal cancer, or cervical esophageal cancer that extended down to the level of aortic arch. The procedure is very challenging. Methods: From April 1984 to May 1998, 14 patients underwent the procedures for double cancer of head-neck and thoracic esophagus (n=10), hypopharyngeal or cervical esophageal cancer (n=3), and synchronous esophageal cancer (n=1). The grafts used were whole stomach (n=6), elongated stomach roll (n=5), and stomach roll with free jejunum (n=3). The routes of reconstruction were posterior mediastinum (n=10), antesternal (n=3), and retrosternal (n=1). Results: Elongated stomach roll with microvascular anastomoses was long enough for reconstruction and the blood supply of the graft was sufficient. There was no fatal complication in this procedure. Oral feeding was achieved in 13 (93%) patients. Conclusions: The elongated stomach roll with microvascular anastomosis is efficient and the placement of the conduit in the posterior mediastinum is recommended to allow a better alimentary comfort in total pharyngolaryngoesophagectomy. Springer-Verlag Berlin Heidelberg, 2000 Key words Total pharyngolaryngoesophagectomy nationallicence Elongated stomach roll microvascular anastomosis nationallicence Alimentary comfort nationallicence Sagawa Noriaki The Second Department of Surgery, Hokkaido University School of Medicine, Kita-15, Nishi-7, Kitaku, Sapporo 060-8638, Japan e-mail: n-sagawa@med.hokudai.ac.jp Tel.: +81-11-7470334 Fax: +81-11-7067158, JP aut Okushiba Shunichi The Second Department of Surgery, Hokkaido University School of Medicine, Kita-15, Nishi-7, Kitaku, Sapporo 060-8638, Japan e-mail: n-sagawa@med.hokudai.ac.jp Tel.: +81-11-7470334 Fax: +81-11-7067158, JP aut Ono Koichi The Second Department of Surgery, Hokkaido University School of Medicine, Kita-15, Nishi-7, Kitaku, Sapporo 060-8638, Japan e-mail: n-sagawa@med.hokudai.ac.jp Tel.: +81-11-7470334 Fax: +81-11-7067158, JP aut Ito Kiyotaka The Second Department of Surgery, Hokkaido University School of Medicine, Kita-15, Nishi-7, Kitaku, Sapporo 060-8638, Japan e-mail: n-sagawa@med.hokudai.ac.jp Tel.: +81-11-7470334 Fax: +81-11-7067158, JP aut Morikawa Toshiaki The Second Department of Surgery, Hokkaido University School of Medicine, Kita-15, Nishi-7, Kitaku, Sapporo 060-8638, Japan e-mail: n-sagawa@med.hokudai.ac.jp Tel.: +81-11-7470334 Fax: +81-11-7067158, JP aut Kondo Satoshi The Second Department of Surgery, Hokkaido University School of Medicine, Kita-15, Nishi-7, Kitaku, Sapporo 060-8638, Japan e-mail: n-sagawa@med.hokudai.ac.jp Tel.: +81-11-7470334 Fax: +81-11-7067158, JP aut Katoh Hiroyuki The Second Department of Surgery, Hokkaido University School of Medicine, Kita-15, Nishi-7, Kitaku, Sapporo 060-8638, Japan e-mail: n-sagawa@med.hokudai.ac.jp Tel.: +81-11-7470334 Fax: +81-11-7067158, JP aut https://doi.org/10.1007/s004230050008 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004230050008 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sagawa Noriaki The Second Department of Surgery, Hokkaido University School of Medicine, Kita-15, Nishi-7, Kitaku, Sapporo 060-8638, Japan e-mail: n-sagawa@med.hokudai.ac.jp Tel.: +81-11-7470334 Fax: +81-11-7067158, JP aut NATIONALLICENCE 700 1- Okushiba Shunichi The Second Department of Surgery, Hokkaido University School of Medicine, Kita-15, Nishi-7, Kitaku, Sapporo 060-8638, Japan e-mail: n-sagawa@med.hokudai.ac.jp Tel.: +81-11-7470334 Fax: +81-11-7067158, JP aut NATIONALLICENCE 700 1- Ono Koichi The Second Department of Surgery, Hokkaido University School of Medicine, Kita-15, Nishi-7, Kitaku, Sapporo 060-8638, Japan e-mail: n-sagawa@med.hokudai.ac.jp Tel.: +81-11-7470334 Fax: +81-11-7067158, JP aut NATIONALLICENCE 700 1- Ito Kiyotaka The Second Department of Surgery, Hokkaido University School of Medicine, Kita-15, Nishi-7, Kitaku, Sapporo 060-8638, Japan e-mail: n-sagawa@med.hokudai.ac.jp Tel.: +81-11-7470334 Fax: +81-11-7067158, JP aut NATIONALLICENCE 700 1- Morikawa Toshiaki The Second Department of Surgery, Hokkaido University School of Medicine, Kita-15, Nishi-7, Kitaku, Sapporo 060-8638, Japan e-mail: n-sagawa@med.hokudai.ac.jp Tel.: +81-11-7470334 Fax: +81-11-7067158, JP aut NATIONALLICENCE 700 1- Kondo Satoshi The Second Department of Surgery, Hokkaido University School of Medicine, Kita-15, Nishi-7, Kitaku, Sapporo 060-8638, Japan e-mail: n-sagawa@med.hokudai.ac.jp Tel.: +81-11-7470334 Fax: +81-11-7067158, JP aut NATIONALLICENCE 700 1- Katoh Hiroyuki The Second Department of Surgery, Hokkaido University School of Medicine, Kita-15, Nishi-7, Kitaku, Sapporo 060-8638, Japan e-mail: n-sagawa@med.hokudai.ac.jp Tel.: +81-11-7470334 Fax: +81-11-7067158, JP aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer