Author/Editor		Župevc, Avgust; Žargi, Miha; Arnež, Zoran; Eržen, Janez; Fajdiga, Igor; Sok, Miha
Title		Prosti jejunalni reženj za rekonstrukcijo žrela
Translated title		Free jejunal flap in pharyngeal reconstruction
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 39, št. Suppl 3
Publication year		2000
Volume		str. 27-31
Language		slo
Abstract		Reconstruction of the pharynx and cervical part of the esophagus following total laryngopharyngectomy can be done using different surgical techniques. The use of a revascularised jejunal free flap currently appears to be the method of choice. The authors report on 31 patients treated surgically in the years 1993-1999. All the patients were males, aged 38-69 years. In all cases, total laryngopharyngectomies, and in some also resection of the upper part of the esophagus, were performed due to carcinoma. 24 patients had carcinoma situated in the hypopharynx, 4 in the larynx, and 3 in the oropharynx. The esophagus was not affected in 22 patients, while in 9 the tumour was found to have spread from the pharynx into the esophageal orifice. By the end of 1999, 12 of all surgically treated patients were free of recurrence, 13 had died due to the progression of the disease and two due to surgery-related complications; four patients died of non-cancer-related diseases.
Summary		Za obnovitev žrela po odstranitvi celotnega žrela in grla so na voljo številne kirurške tehnike. Uporaba revaskulariziranega prostega jejunalnega režnja je sedaj metoda izbora. Avtorji poročajo o 31 bolnikih, ki so bili operirani v letih od 1993 do vključno 1999. Vsi so bili moški, stari 38-69 let, v povprečju 54 let. V vseh primerih je bila narejena odstranitev žrela in grla, pri nekaterih pa tudi odstranitev zgornjega dela požiralnika. 24 bolnikov je imelo raka v spodnjem žrelu, 4 v grlu in 3 v ustnem žrelu. Tumor pri 22 bolnikih ni zajel požiralnika, pri 9 bolnikih pa se je širil iz žrela v ustje požiralnika. Ob koncu leta 1999 je bilo med bolniki, ki so bili operirani 12 bolnikov brez bolezni, 13 jih je umrlo zaradi napredovanja bolezni, 2 sta umrla zaradi pooperacijskih zapletov, 4 bolniki pa so umrli zaradi druge bolezni.
Descriptors		PHARYNGECTOMY LARYNGECTOMY PHARYNX SURGERY, PLASTIC JEJUNUM SURGICAL FLAPS RECURRENCE TREATMENT OUTCOME POSTOPERATIVE COMPLICATIONS