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Pharyngolaryngo-esophagectomy with immediate gastric pull-up
1Department of Otolaryngology, College of Medicine, King Saud University, Abha, Saudi Arabia.
Background:
This paper documents our experience with patients who underwent laryngopharyngoesophagectomy with immediate gastric pull-up procedures.
Patients And Method:
Fifteen patients with carcinoma of the hypopharynx and cervical esophagus underwent total laryngopharyngo-esophagectomy with immediate gastric pull-up procedures over a period of nine years at the Asir Central Hospital in the southwestern region of Saudi Arabia.
Results:
The most common complication was cervical fistula, which with its sequelae occurred in 40%. Postoperative function in terms of swallowing ability was good but rehabilitation of speech was poor. The overall hospital mortality was 7%, and the crude survival rate was 40%. The most common cause of long-term failure was the recurrence of the disease.
Conclusion:
The success of this operative procedure depends on wide surgical excision of cancer along with rapid reconstruction of alimentary canal.
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