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August 1988

Total Pharyngolaryngectomy and Cervical Esophagectomy With Jejunal Autotransplant Reconstruction: Complications and Results

Arch Otolaryngol Head Neck Surg. 1988;114(8):833. doi:10.1001/archotol.1988.01860200015001

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During the Western Sectional Meeting of the Triological Society in January 1988, in Coronado, Calif, Jonathan Ferguson and Larry DeSanto from the Mayo Clinic, Rochester, Minn, described their experience in pharyngoesophageal reconstruction after circumferential resection of the pharynx and esophagus during cancer surgery. They used a free jejunal graft (autotransplant) for reconstruction of the upper digestive tract. A total of 18 patients were described. Six major complications occurred, including abdominal and cervical bleeding and graft failure. One patient died due to the operation. Six minor complications were reported, such as fistulas. Twelve (66%) of 18 patients had significant complications. The mean length of survival was 349 days after resection and reconstruction. Ten of 18 patients died of their disease. Five had recurrent cancer in the neck and the other five had distant metastasis. The authors express concern regarding the morbidity and mortality in their series, and take a critical look

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