Laparoscopic Harvest of the Jejunal Free Flap for Reconstruction of Hypopharyngeal and Cervical Esophageal Defects

Abstract

Given the low complication rate and relative ease of harvest, we conclude that this new technique is currently the best way to harvest jejunal flaps for reconstructing these challenging defects and should renew enthusiasm for this versatile flap.

Free Jejunal Graft for Reconstruction of Defects in the Hypopharynx and Cervical Esophagus Following the Cancer Resections

“…However, laparoscopic harvest of the jejunum for use in free tissue transfer reconstruction have many advantages such as lower donor site morbidity, shorter operative time, and quicker recovery, particularly in elderly or high-risk patients. 15 Our findings supports the fact that endoscopic harvest of jejunal segments for free tissue transfer is a safe technique, with good postoperative results, and does not possess the inherent risks and complications of a traditional laparotomy harvest.…”

Free posterior tibial flap reconstruction for hypopharyngeal squamous cell carcinoma

“…Optimal reconstructive procedures should cause the least mortality and morbidity and the best preservation of the functions of the hypopharynx and larynx [14]. In the current study, the posterior tibial flaps survived and the hypopharyngeal and laryngeal functions were preserved in all the patients, resulting in good quality of life for the patients.…”

Pharyngoesophageal Reconstruction Outcomes Following 349 Cases

“…Isolated cervical esophageal defects are lower in the neck, where less bulk is desired because of the space occupied by an intact larynx, so a free jejunal segment, 9,33 forearm flap [34][35][36] (►Fig. 7), or a thin ALT flap are our preferred flaps.…”