Results of gastric pull-up reconstruction for pharyngolaryngo-oesophagectomy in advanced head and neck cancer and cervical oesophageal squamous cell carcinoma.
作者信息
Puttawibul Puttisak, Pornpatanarak Chuchart, Sangthong Burapat, Boonpipattanapong Teeranut, Peeravud Sumet, Pruegsanusak Kovit, Leelamanit Vitoon, Sinkijcharoenchai Wattana
机构信息
Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
出版信息
Asian J Surg. 2004 Jul;27(3):180-5. doi: 10.1016/S1015-9584(09)60029-4.
OBJECTIVE
To study long-term clinical swallowing function and survival outcome in head and neck and cervical oesophageal cancer patients who underwent pharyngolaryngo-oesophagectomy (PLE).
METHODS
The clinical data of 48 patients who were treated with PLE were analysed. All patients had advanced disease, so the construction required a transposed stomach. Body weight and clinical swallowing function were evaluated postoperatively. The swallowing function was assessed at an interview concerning food ingestion and regurgitation. The survival group was studied using a Kaplan-Meier survival curve.
RESULTS
Forty-one cases of hypopharyngeal cancer and four cases of cervical oesophageal cancer were studied. In three cases (6%), hypopharyngeal and thoracic oesophageal squamous cell carcinoma occurred together. Most cases had good-to-fair results. The average body weight gain was increased after surgery. There was one hospital death. The most common complications were pulmonary (4%). Median survival was 27 months.
CONCLUSION
A pharyngogastric anastomosis after PLE can be performed with low morbidity and good swallowing function.
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