Weidenbecher M, Waller G
Laryngol Rhinol Otol (Stuttg). 1976 Feb;55(2):156-62.
17 out of 22 patients with a squamous cell cancer of the Hypopharynx (T2-T4,N1-N3) are treated by resection of the pharynx and larynx, combined with radical neck-dissection on both sides, total strumectomy and full course of radio-therapy, reaching from the base of the skull down to the madiastinum. For the immediate reconstruction of a nutritional pathway the preservation of a vertical tumor free strip of the pharyngeal wall at least 15 mm broad is recommended. The remaining mucosa resected at least 20 mm from the margin of the tumor, and the edges controlled by frozen sections can be sutured over a nasal gastric tube of 18 or 16 charr. The reconstruction has several advantages. Though the observation time of 15 months is short, the recurrence rate seems not to be higher than after total resection of the pharynx and larynx.
22例下咽鳞状细胞癌（T2-T4，N1-N3）患者中，有17例接受了下咽和喉切除术，同时进行双侧根治性颈清扫术、全甲状腺切除术以及从颅底至纵隔的全程放射治疗。为立即重建营养通路，建议保留至少15毫米宽的无肿瘤咽壁垂直条带。距肿瘤边缘至少20毫米切除剩余黏膜，切缘经冰冻切片检查后可缝合在18或16号鼻胃管上。这种重建有几个优点。虽然15个月的观察期较短，但复发率似乎不高于全下咽和喉切除术后。
