Surgical treatment of the hypopharynx and chest esophageal carcinoma
10.3760/cma.j.issn.1001-4497.2019.10.007
- VernacularTitle: 下咽癌合并胸段食管癌的外科治疗
- Author:
Kai LI
1
;
Yuejun CHEN
1
;
Gaoming XIAO
1
;
Qiuyi ZOU
1
;
Yi TANG
1
;
Wenxiao HUANG
2
;
Zan LI
2
Author Information
1. Department of Thoracic Surgery, the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha 410000, China
2. Department of Head and Neck Surgery, the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha 410000, China
- Publication Type:Journal Article
- Keywords:
Esophageal-neoplasms;
Hypopharyngeal-neoplasms;
Surgery
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2019;35(10):608-611
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical value of the the hypopharynx and chest esophageal carcinoma.
Methods:20 patients surgical treatment data of the hypopharynx and chest esophageal carcinoma from January 2013 to July 2019 were reviewed.
Results:The simultaneous hypopharynx and esophageal carcinoma 11 cases. The heterochronic hypopharynx and chest esophageal carcinoma 9 cases. 20 cases are all squamous cell carcinoma. The synchronus operation included total pharyngolaryngo esophagectomy, gastric tube interposition pharyngo gastric anastomic, neck and mediastinal lymph nodes dissection, tracheostomy. The heterochronic operation included the first stage radical hypopharygealectomy, the second stage radical esophagealectomy. Postoperative complications included in hospital death in one, double pneumonia in 3 and anastomosis stricture in one case. Pharynx gastric fistula in 2. Swallowing function were all recovered.
Conclusion:Although laryngo pharyngo esophagectomy and pharyngogastric anastomoses for the hypopharynx and chest esophageal carcinoma is a simple and acceptable procedure, the quality of life is not satisfactory. And although colon interpasation for esophageal replacement is complicated the quality of life is the best.
