Vascular anastomoses in free jejunal reconstruction to the neck vessels: an experience of consecutive 20 cases without using surgical microscope
Utoh, J.; Tabira, Y.; Moriyama, S.; Sun, R.; Yasunaga, M.; Nagamoto, N.; Sakaguchi, T.; Kitamura, N.; Eura, S.; Samejima, Y.; Masuyama, K.; Yumoto, E.
Kyobu Geka. Japanese Journal of Thoracic Surgery 53(12): 992-996
2000
ISSN/ISBN: 0021-5252 PMID: 11079301 Document Number: 513702
Twenty consecutive cases of pharyngoesophageal cancer who underwent free jejunal reconstruction were reported. The common carotid or external carotid artery was used for a feeder of the free graft. The internal jugular vein were served as a drainage vein. All anastomoses were performed in an end-to-side fashion without using surgical microscopes. Mean carotid artery clamping time was 16 minutes and no neurological complications were noticed postoperatively. Graft failure was occurred in 1 patient. The presenting technique, showing 95% success rate, is recommended as a simple option for vascular anastomosis in free jejunal reconstructive surgery.