One stage surgical treatment of multiple primary carcinoma of hypopharynx and esophagus
10.16066/j.1672-7002.2017.05.002
- VernacularTitle:下咽及颈胸段食管多原发癌一期手术
- Author:
Binghuang ZHANG
;
Xianyang LUO
;
Xuge HUANG
;
Aimin CHEN
;
Yuanqin JIANG
;
Chenfu CAI
;
Xiuyi YU
- Keywords:
Hypopharyngeal Neoplasms;
Esophageal Neoplasms;
Surgical Procedures;
Operative;
Thoracoscopy;
Gastroplasty;
multiple primary carcinoma
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2017;24(5):225-227
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To discuss the therapeutic effect of one stage surgical treatment in the multiple primary hypopharyngeal and cervical thoracic esophageal carcinoma.METHODS The thoracoscopy group: dissecting the esophagus and mediastinal lymph node assisted with thoracoscope, and then opened abdominal cavity to make gastric tube. Head and neck group: doing the cervical lymph node dissection, total laryngectomy, total hypopharyngectomy and total esophagectomy, and then anastomosis of the pharynx with gastric tube. All cases were received conventional radiotherapy and chemotherapy after operation.RESULTS All the cases in this group were successfully underwent the one stage operation. The postoperative complications were pulmonary infection in 3 cases, pleural effusion in 2 cases and tracheal tear in one case. No anastomotic fistula or postoperative deaths occurred. The 3 and 5 year survival rates were 63.6% and 50.0% respectively.CONCLUSION It should take necessary examinations of cervical thoracic esophagus to prevent missing the multiple primary carcinoma of the hypopharyngeal carcinoma. The total laryngectomy, total hypopharyngectomy and total esophagectomy, and anastomosis of the pharynx with gastric tube for multiple primary hypopharyngeal and cervical thoracic esophageal carcinoma is a feasible and active treatment method.
