Cheng X Y
Navy General Hospital, Beijing.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1993;28(1):47-8, 60.
Thirteen cases of laryngo-pharyngo-cervical oesophagus carcinoma were treated by pharyngo-gastric anastomosis and total laryngectomy. All patients after operation could swallow. The five-year survival rate was 1/4, three-year survival rate was 3/7 and one-year survival rate 9/13. We suggest that resection of pharyngo-laryngo-esophageal, carcinoma with removal of all the pathological lesions and pharyngo-gastric anastomosis is the best way for the prophylaxis of recurrence when the carcinoma involves the cervical esophagus. Furthermore, due to the high tendency of metastasis to neck lymph nodes in the early stage of the carcinoma, neck dissection should be performed during operation. The advantages of pharyngo-gastric anastomosis are wide indication and good blood supply.