Thoracoscopic total laryngo-pharyngo-oesophagectomy for the pharyngoesophageal junction cancer: a single-center experience of multidisciplinary team
| Autor: | Xu Li, Bo Liu, Ming‑Lian Qiu, Xiaobo Wu, Min-Jie Yu |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Esophageal Neoplasms Single Center Multidisciplinary team 03 medical and health sciences 0302 clinical medicine Pharyngectomy medicine Humans 030223 otorhinolaryngology Retrospective Studies Patient Care Team business.industry Cancer Hypopharyngeal cancer General Medicine Perioperative Middle Aged medicine.disease Surgery Esophagectomy Otorhinolaryngology Cardiothoracic surgery 030220 oncology & carcinogenesis Neurosurgery business |
| Zdroj: | European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 278(11) |
| ISSN: | 1434-4726 |
| Popis: | The aims of this study were to review the surgical experience and evaluate the feasibility of thoracoscopic total laryngo-pharyngo-oesophagectomy by multidisciplinary team in the patients with pharyngoesophageal junction cancer. A total of 31 patients with pharyngoesophageal junction cancer who underwent thoracoscopic total laryngo-pharyngo-oesophagectomy with gastric pull-up reconstruction performed by a collaborative thoracic surgery and otolaryngology surgery team in our department from January 2009 to January 2019 were retrospectively analysed. Surgical experience, Postoperative morbidity, overall survival were evaluated. The median age was 62 years old. Among these patients, 20 had hypopharyngeal cancer, 11 had cervical oesophageal cancer. No patients died during the perioperative period, and the median operation time was 4 h 30 min. The mean hospital stay was 13 days. The rate of complications was 32.3%. There were two cases of anastomotic leakage, four cases of moderate pulmonary infection. The median follow-up period was 31 months. Four patients were lost to follow-up in the second and fourth years and were considered to have died at that time. The 3- and 5-year overall survival rates were 52.6% and 31.6%, respectively. As a salvage surgery, thoracoscopic total laryngo-pharyngo-oesophagectomy by multidisciplinary team can be performed with an acceptable level of perioperative morbidity and mortality, relatively good recovery, and acceptable survival outcome for patients with pharyngoesophageal junction cancer. |
| Databáze: | OpenAIRE |
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