Shenoy R K, Pai S U, Rajan N
Department of Surgery, Kasturba Medical College, Karnataka.
Indian J Gastroenterol. 1996 Apr;15(2):52-4.
The stomach is a well known esophageal substitute. To analyze the mortality and morbidity following total laryngopharyngoesophagectomy (TLPE) with pharyngogastric anastamosis done as a single-stage procedure.
The technique employed was esophageal extraction by stripping method followed by gastric pull up. In 104 patients transposition of the stomach was done through posterior mediastinum and in one patient through presternal route.
Significant post-operative complications included pharyngocutaneous fistula in 15 patients (14.3%) and pneumonitis in 20 patients (19%). Fifteen patients (14.3%) died due to the causes related to surgery. All patients who survived were able to swallow solid and liquid food, on an average of 14 days post-operatively.
The stomach as a conduit following TLPE is procedure which givens satisfying results when done in carefully selected patients.
胃是一种广为人知的食管替代物。分析全喉咽食管切除术（TLPE）并一期进行咽胃吻合术后的死亡率和发病率。
采用的技术是通过剥脱法进行食管切除，随后行胃上提术。104例患者经后纵隔进行胃移位，1例患者经胸骨前途径进行胃移位。
术后显著并发症包括15例（14.3%）发生咽皮瘘，20例（19%）发生肺炎。15例（14.3%）患者因手术相关原因死亡。所有存活患者术后平均14天能够吞咽固体和液体食物。
在精心挑选的患者中进行全喉咽食管切除术后用胃作为管道的手术可取得令人满意的效果。
