Surgical management of the cervical esophageal carcinoma
- VernacularTitle:颈段食管癌的外科治疗
- Author:
Duo ZENG
;
Jian JIANG
;
Jianye LI
;
Zhigang HUANG
;
Qi WANG
;
Xin NI
;
Jugao FANG
;
Tao YU
;
Yunfeng ZHANG
- Publication Type:Journal Article
- Keywords:
Esophageal Neoplasms;
Neck;
Esophagectomy;
Reconstructive Surgical Procedures
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2006;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To investigate the surgical management and its result of the cervical esophageal cancer.METHODS Forty six patients with cervical esophageal carcinoma who received surgical treatment in our hospital were included in this retrospective study.The removed hypopharynx and cervical esophagus were repaired with laryngotracheal flap in 5 cases,free myocutaneous flap in 4 patients and free jejunum in 2 patients.The inversion stripping esophagectomy without thoracotomy were performed in 35 patients.RESULTS During the early postoperative period,complications included recurrent laryngeal nerve paralysis in 2 cases,anastomotic fistula in 3 cases,anastomotic stenosis in 5 cases,Long-term postoperative gastro-esophageal reflux occurred in 19 cases.The 5-year survival rate was 28.7%. CONCLUSION The surgical treatment for cervical esophageal carcinoma should be decided by the location of the tumor,the extent of the cancer involved and lymph node metastasis.
