Rekonstrukcja części szyjnej przełyku techniką gastric pull-up w przebiegu wznowy raka gardła dolnego i krtani

Autor: Sławomir Marszałek, Jakub Pazdrowski, Piotr Pieńkowski, Maria Kuśnierkiewicz, Wojciech Golusiński, Anna Wegner, Magdalena Kordylewska, Paweł Murawa, Janusz Wasiewicz
Rok vydání: 2008
Předmět:
Zdroj: Otolaryngologia Polska. 62:616-620
ISSN: 0030-6657
Popis: Summary Patient with hypopharyngeal cancer are difficult to treat because they usually present with advanced disease, poor general health status and severe nutritional problems. Because of the poor prognosis, careful consideration has to be given regarding the choice of the correct surgical approach for respirato-digestive tract reconstruction. The authors present a case of recurrent hypopharyngeal cancer with cervical esophagus infiltration successfully treated with total laryngectomy and esophagectomy and gastric pull up reconstruction. Indications for technique, method of reconstruction and complications are discussed. As most authors we consider the gastric transposition method as the preferred approach to restore digestive continuity after total esophagectomy. As the method is the single stage procedure it provides the best palliation of dysphagia and allows early resumption of an oral diet.
Databáze: OpenAIRE