Abstract
Recently, we devised a novel method for simultaneous reconstruction of neopharyngoesophagus and phonation following laryngopharygoesophagectomy. In this method, the harvested jejunum is divided into two segments (i.e., one segment for neopharyngoesophagus, and the other for tracheo-neoesophageal shunt). This shunt was called “Elephant trunk shunt (ETS)” because the shape resembles the trunk of an elephant. This paper reviewed our experiences of this method. In several cases, permanent tracheostoma had been in trouble with cutaneous contracture or collapse of jejunal mucosa, which can be solved by further refinement of the procedure. Using a lineal stapler for producing the “elephant trunk” simplified the operative procedure, inducing shorter operating time.
