Double-Pedicled Free Jejunal Transfer in Local Hypopharyngeal Cancer Recurrence after Chemoradiotherapy

We report a case of pharyngolaryngoesophagectomy and free jejunal transfer in a subject with local hypopharyngeal cancer recurrence after full-dose chemoradiotherapy. Reliable tissue transfer was also needed for early postoperative ambulation and oral ingestion. We planned the jejunal flap including two pairs of jejunal arteriovenous grafts and anastomosed them to the recipient vessel with the double-pedicled arteriovenous jejunum. The postoperative course was excellent. This approach proved useful in such severe cases with systemic complications despite longer operating time and restrictions on recipient vessels.