On November 20, a representative said that recently, doctors here for the first time successfully performed reconstructive surgery on the esophageal nasopharynx with a double-pedicle jejunal flap for a critically ill patient.
The patient is you.
The patient underwent surgery to completely remove the pharynx – cervical esophagus – larynx, thyroid cartilage, parathyroid muscle into one block and bilateral cervical lymph node dissection.
To achieve a 100% success rate, the cosmetic surgery – microsurgery team performed suturing of the two vascular pedicles, then reconstructed the pharynx – cervical esophagus with a free jejunal flap.
After surgery, patients are closely monitored every 2-3 hours for the first 72 hours and every 6 hours for the next 5 days.
Subsequent CT scan results showed that the patient’s gastrointestinal tract after reconstruction worked well, with no signs of leakage in the reconstructed pharyngeal-esophageal segment.
Associate Professor Nguyen Anh Khoi, Head of the Department of Head and Neck – Maxillofacial Surgery, said that the hypopharynx accounts for 3-4% of head and neck cancer cases.
The disease is characterized by multifocal tumors and early metastases in cervical lymph nodes.
Surgery for hypopharyngeal cancer is recommended to be removed 2-3 cm wide, thus creating a very large defect, occupying the entire circumference of the pharynx – esophagus.
After surgical treatment, reconstructive surgery is required to restore the patient’s basic life functions.
According to Associate Professor Khoi, in the past, to treat hypopharyngeal cancer, patients only received surgical resection and limited radiotherapy but the effectiveness was often very poor.
