Stomach is currently the most frequently used organ for replacement of the esophagus .The jejunum would be an option when stomach is removed or diseased .Esophageal reconstruction with jejunum has been a surgical approach of esophageal reconstruction for more than 70 years.The study found that the anatomical characteristics of jejunum can meet the needs of esophageal reconstruction ,and jejunum as the organ that replaces the esophagus also has a unique advantage . Esophageal reconstruction with jejunum mainly has three procedures:free jejunum flap for esophageal reconstruction ,esoph-ageal reconstruction with jejunum without vascular anastomosis and microvascular anastomosis to supercharged pedicled jejunal interposition for esophageal replacement .The three surgical procedures adapt to different situations .Esophageal reconstruction with jejunum is not complicated , and the long-term and short-term effect of this surgery ,regardless of vascu-lar anasto mosis success rate, is good.Therefore, esophageal reconstruction with jejunum is an indispensable surgical approach to esophageal reconstruction .%目前临床上最常采用的代食管脏器是胃,但当胃已被切除或有病变时,则可选择空肠代食管.空肠代食管是一种有七十余年历史的食管重建手术方式,空肠的解剖特点能很好地满足代食管的需要,同时空肠作为代食管脏器还具有独特的优势.目前,空肠代食管主要有3种术式:游离空肠代食管、不吻血管带蒂空肠代食管和小血管吻合增强灌注带蒂空肠代食管,这3种术式分别适用于不同情况.空肠代食管手术操作并不复杂,不管是否吻合血管手术成功率均较高,术后近远期效果良好.因此,空肠代食管是食管重建不可或缺的手术方式.
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