Berteşteanu S V G, Popescu C R, Grigore R, Popescu B
E.N.T. Department, Colţea Clinical Hospital, Bucharest, Romania.
Chirurgia (Bucur). 2012 Jan-Feb;107(1):33-8.
Not only the anatomy but the treatment and the prognosis of these tumors are intermediate between hypopharyngeal and esophageal tumors. After a portion of the esophagus is removed or complete esophagectomy, a conduit must be established. The authors reviewed the experience of Prof. Cristian Popescu in total pharyngo-laryngectomy and his technique of pharyngoesophageal reconstruction with synthetic esophageal prosthesis. We have some 21 patients who underwent an esophageal reconstruction with Montgomery esophageal tube. This is a very important new, modem, interdisciplinary approach bewteen the head and neck surgeon and the general/thoracic surgeon to treat the pharyngo-laryngo-esofageal neoplasia with one stage reconstruction. The follow up for these patients shows that this reconstruction method is a good, reliable choice with low costs and considerable advantages for the quality of life. Surgery for these patients should be considered primarily palliative and the optimal reconstruction should preserve the quality of life for the duration of survival.
这些肿瘤不仅在解剖学上，而且在治疗和预后方面都介于下咽肿瘤和食管肿瘤之间。在切除部分食管或进行全食管切除术后，必须建立一个管道。作者回顾了克里斯蒂安·波佩斯库教授在全喉咽切除术方面的经验以及他使用合成食管假体进行咽食管重建的技术。我们有大约21例患者接受了蒙哥马利食管管的食管重建。这是头颈外科医生和普通/胸外科医生之间一种非常重要的新型、现代的跨学科方法，用于一期重建治疗咽喉食管肿瘤。对这些患者的随访表明，这种重建方法是一种良好、可靠的选择，成本低，对生活质量有相当大的优势。对这些患者的手术应主要视为姑息性手术，最佳重建应在生存期间保持生活质量。
