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报告了10例结肠上徙喉咽全食管重建术,其中喉咽颈段食管癌4例,喉咽、食管灼伤性狭窄6例。本组手术的特点是在施行结肠上徙重建咽及食管的同时保留和重建喉功能。本组喉功能全恢复者7例,部分恢复者2例,1例因肿瘤复发自动出院。结肠上徙途径除1例采用胸前皮下隧道外,余均采用胸骨后途径,术后吞咽功能恢复良好。本手术方法可整复喉咽及食管的广泛缺损,结肠口径大,有利喉咽腔的整复及喉功能重建术,为喉咽及食管整复又提供一理想的手术方法。
Ten cases of total esophageal reconstruction on the upper colon were reported, including 4 cases of esophageal cancer of the pharyngeal pharyngeal cavity, and 6 cases of laryngospasm and esophageal burn stenosis. The characteristics of the operation in this group were to preserve and reconstruct the laryngeal function while reconstructing the pharynx and esophagus on the colon. In this group, there were 7 cases of full recovery of laryngeal function, 2 cases of partial recovery, and 1 case of automatic discharge due to tumor recurrence. On the other hand, in addition to the use of a chest subcutaneous tunnel in one case, the post-sternal approach was used for the recurrent migration of the colon, and the postoperative swallowing function recovered well. The surgical method can recover a wide range of defects in the hypopharyngeal pharynx and esophagus. The caliber of the colon is large, which facilitates the reconstruction of the laryngeal and pharyngeal cavity and reconstruction of the laryngeal function, and provides an ideal surgical method for reconstruction of the pharynx and esophagus.