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[Pharyngo-gastric anastomosis]
1Navy General Hospital, Beijing.
Zhonghua Er Bi Yan Hou Ke Za Zhi
|January 1, 1993
Summary
Pharyngo-gastric anastomosis after total laryngectomy offers a viable treatment for hypopharyngeal-cervical esophageal cancer, enabling swallowing and improving survival rates. Surgical resection with neck dissection is recommended to prevent recurrence and metastasis.
Area of Science:
- Oncology
- Surgical Oncology
- Gastroenterology
Context:
- Hypopharyngeal-cervical esophageal carcinoma presents a significant surgical challenge.
- Advanced surgical techniques are crucial for improving patient outcomes.
Purpose:
- To evaluate the efficacy of pharyngo-gastric anastomosis combined with total laryngectomy for hypopharyngeal-cervical esophageal carcinoma.
- To assess the survival rates and recurrence prophylaxis associated with this surgical approach.
Summary:
- Thirteen patients with hypopharyngeal-cervical esophageal carcinoma underwent pharyngo-gastric anastomosis and total laryngectomy.
- All patients achieved the ability to swallow post-operatively.
- Survival rates were 9/13 at one year, 3/7 at three years, and 1/4 at five years.
- The study advocates for complete resection of pathological lesions and pharyngo-gastric anastomosis for recurrence prevention.
- Concurrent neck dissection is recommended due to the high early-stage metastasis rate to neck lymph nodes.
- Pharyngo-gastric anastomosis offers advantages of wide indication and good blood supply.
Impact:
- This surgical strategy demonstrates feasibility and potential for improved swallowing function in patients with advanced esophageal cancer.
- The findings support the integration of neck dissection in the surgical management of this condition.
- Pharyngo-gastric anastomosis emerges as a beneficial reconstructive option in oncologic surgery of the pharynx and esophagus.