Free vascularized jejunum interposition for pharyngoesophageal reconstruction after total laryngopharyngectomy
| Autor: | E. K. J. Risse, A. J. C. Mackaay, J. J. Hoorweg, G. A. Croll, N. de Vries, J. A. Rauwerda, R. M. Tiwari |
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| Rok vydání: | 1994 |
| Předmět: |
Adult
Male medicine.medical_specialty Fistula medicine.medical_treatment Cutaneous Fistula Laryngectomy Disease-Free Survival Jejunum Esophagus Postoperative Complications Pharyngectomy medicine Carcinoma Humans Survival rate Aged Neoplasm Staging Retrospective Studies Aged 80 and over Postoperative Care business.industry Pharynx Cancer Retrospective cohort study Pharyngeal Neoplasms Pharyngeal Diseases Middle Aged medicine.disease Combined Modality Therapy Surgery Radiation therapy Survival Rate medicine.anatomical_structure Otorhinolaryngology Carcinoma Squamous Cell Female Neoplasm Recurrence Local business |
| Zdroj: | Clinical otolaryngology and allied sciences. 19(6) |
| ISSN: | 0307-7772 |
| Popis: | The records of 28 patients who underwent free jejunal graft reconstruction after resection for cancer involving the pharynx were analysed. Seven patients had a T3 carcinoma, 15 patients T4 and six patients recurrence after laryngectomy. Ten patients had received radiotherapy in the past. Post-operatively, 15 patients (54%) had complications and two patients (7%) died. No significant difference was observed in the complication rate between the group that received radiotherapy in the past and those who did not. Nineteen patients received post-operative radiotherapy. Nine patients had no radiotherapy on the basis of complete resection or because of serious complications. For the whole group the 2-year recurrence free period and survival were 42% and 51% respectively. The post-operative radiotherapy group had a significantly better survival (73%) and recurrence free period (63%) than the group without post-operative radiotherapy (0%). Thus, post-operative radiotherapy seems indicated irrespective of resection margins. |
| Databáze: | OpenAIRE |
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