[Laparoscopy-assisted harvesting of free small intestine transplants for reconstruction of voice and deglutition after total laryngopharyngectomy--an animal experiment study].

Abstract:

:Based on animal trials the presented study results describe a laparoscopic assisted removal of an extra-long free jejunal graft to reconstruct voice and swallowing after a total laryngo-pharyngectomy in cases with advanced malignancies of the larynx including invasion in the upper oesophagus. With a microvascular anastomosed small bowel segment, we have been able to reconstruct parts of the pharynx and to create a speaking syphon as devised by Ehrenberger in an one-stage procedure. The concept of avoidance of an extensive laparotomy may result in an decreased morbidity of this surgical procedure. Therefore it represents a challenging single indication of minimally invasive surgery of the oesophagus. A well established interdisciplinary teamwork is the key for success in this extensive procedure.

journal_name

Zentralbl Chir

authors

Marusch F,Koch A,Kluge J,Stöbe R,Immer P,Gastinger I

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

944-9

issue

8

eissn

0044-409X

issn

1438-9592

journal_volume

123

pub_type

杂志文章
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    doi:

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  • [Foot salvage in diabetic gangrene].

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    doi:

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    doi:

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    doi:

    authors: Tausch W

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    doi:

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  • [Risk factors and pathogenic microorganisms in patients with insufficient esophagojejunostomy after gastrectomy].

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    doi:

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    doi:

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    doi:

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  • [Surgical treatment of the scimitar syndrome].

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