Reconstruction of Hypopharyngeal and Esophageal Defects Using a Gastric Tube after Total Esophagectomy and Pharyngolaryngectomy
| Autor: | Tiehong Deng, Jifeng Liu, Zhaohui Wang, Lin Peng, Chao Li, Wei Wang, Shaoxin Wang, Xiaojiao Lan, He Yuxin, Yongcong Cai, Guiquan Zhu, Qiang Li |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty China Esophageal Neoplasms medicine.medical_treatment Kaplan-Meier Estimate Risk Assessment Disease-Free Survival Cohort Studies 03 medical and health sciences 0302 clinical medicine Enteral Nutrition Swallowing Pharyngectomy Hypopharyngeal Neoplasm medicine Humans Neoplasm Invasiveness Reflux esophagitis Aged Neoplasm Staging Retrospective Studies Hypopharyngeal Neoplasms Laryngoscopy business.industry Hypopharyngeal cancer Endoscopic dilatation Esophageal cancer Middle Aged Plastic Surgery Procedures medicine.disease Hemothorax Survival Analysis Surgery Esophagectomy Treatment Outcome Otorhinolaryngology 030220 oncology & carcinogenesis Quality of Life 030211 gastroenterology & hepatology business Follow-Up Studies |
| Zdroj: | ORL; journal for oto-rhino-laryngology and its related specialties. 78(4) |
| ISSN: | 1423-0275 |
| Popis: | Aim: This study investigated the value of gastric tube during surgery for advanced hypopharyngeal and cervical esophageal cancer. Method: From November 2007 to December 2012, 42 patients underwent total pharyngo-laryngo-esophagectomy because of advanced hypopharyngeal or cervical esophageal cancer and were reconstructed with a gastric tube. Clinical swallowing function, morbidity, overall survival, and progression-free survival were evaluated postoperatively. Result: There were no severe complications, including no gastric necrosis, surgery-related postoperative morbidity, hemothorax, thoracostomach, or severe reflux esophagitis. Anastomotic leakage occurred in 2 cases, and these patients healed spontaneously with conservative management. Pulmonary infection developed in 5 patients. Anastomotic stenosis occurred in 2 cases and was managed with endoscopic dilatation. Regurgitation during the night was observed in 5 cases and was controlled by medication. All the patients regained their swallowing ability and thereby increased their quality of life. All patients were followed for 30-60 months; 2 of them were lost 6 months after surgery. The 3-year overall and progression-free survival rates were 58.1 and 56.2% respectively, and the 5-year overall and progression-free survival rates were 27.6 and 21.8%, respectively. Conclusion: Reconstruction by gastric tube is a dependable one-stage procedure that restores gastrointestinal continuity after total pharyngo-laryngo-esophagectomy. |
| Databáze: | OpenAIRE |
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