Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-27T12:53:59.493Z Has data issue: false hasContentIssue false
  • English
  • Français

Gastric tube transposition for cancer of the hypopharynx and cervical oesophagus

Published online by Cambridge University Press:  29 June 2007

J. P. Marmuse ,
C. Guedon  and
V. N. Koka
J. P. Marmuse*
Affiliation:
Department of Surgery, Hôspital Bichat–Claude Bernard, Paris, France.
C. Guedon
Affiliation:
Department of Otolaryngology, Ho^spital Bichat-Claude Bernard, Paris, France.
V. N. Koka
Affiliation:
Department of Otolaryngology, Ho^spital Bichat-Claude Bernard, Paris, France.
*
Dr J. P. Marmuse, Department of Surgery, Chu Bichat–Claude Bernard, 46, rue H. Huchard, 75877 Paris Cedex 18, France. Fax: 1-40258839
Get access Rights & Permissions [Opens in a new window]

Abstract

A study of 20 cases of gastric tube transposition following total laryngopharyngoesophagectomy during an eight-year period is presented. The site of the tumour was: hypopharynx in 13 cases (12 pyriform sinus, 1 postcricoid); and cervical oesophagus in seven cases. There were nine (45 per cent) Stage III lesions and 11 (55 per cent) Stage IV lesions (UICC, 1987).

Post-operative morbidity rate was 15 per cent. Hospital mortality rate was 10 per cent (cause of death was myocardial infarction). Anastomotic fistula rate was five per cent. Excluding hospital mortality, the three year actuarial survival rate was 35 per cent for the whole series and 53 per cent for patients with hypopharyngeal cancer. The actuarial survival rate for patients with oesophageal cancer at one and two years was 41 and zero per cent respectively.

The transposition of a tubed stomach provided successful swallowing in two-thirds of the patients for a period of more than a year and these patients developed good neoesophageal speech.

Keywords

LaryngectomyPharyngectomyOesophagectomyPharyngeal neoplasmsSpeech, oesophageal
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 1 , January 1994 , pp. 33 - 37
Copyright
Copyright © JLO (1984) Limited 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Harrison, D. F. N. (1970) Pathology of hypopharyngeal cancer in relation to surgical management. Journal of Laryngology and Otology 84: 349–367CrossRefGoogle ScholarPubMed
Harrison, D. F. N., Thompson, A. E. (1986) Pharyngolaryngoesophagectomy with pharyngogastric anastomosis for carcinoma of the hypopharynx. Review of 101 operations. Head and Neck Surgery 8:418–28CrossRefGoogle ScholarPubMed
Kaplan, E. L., Meier, P. (1958) Non-parametric estimation from incomplete observations. Journal of the American Statistical Association 53: 457–481CrossRefGoogle Scholar
Lam, K. H., Wong, J., Lim, S. T. K., Ong, G. B. (1981) Pharyngogastric anastomosis following pharyngolaryngoesophagectomy. Analysis of 157 cases. World Journal of Surgery 5: 509–516CrossRefGoogle ScholarPubMed
Lam, K. H., Ho, C. M., Lau, W. E.Wei, W. I. (1989) Immediate reconstruction of pharyngoesophageal defects, preference or reference. Archives of Otolaryngology, Head and Neck Surgery 115: 608–612CrossRefGoogle ScholarPubMed
Le Quesne, L. P., Ranger, D. (1966) Pharyngolaryngectomy with immediate pharyngogastric anastomosis. British Journal of Surgery 53: 101–119Google ScholarPubMed
Moorehead, R. J., Wong, J. (1990) Gangrene in esophageal substitutes after resection and bypass procedures for carcinoma of the oesophagus. Hepatogastroenterology 37: 364–367Google Scholar
UICC (1987). International Union Against Cancer. TNM Classification of Malignant Tumours, (Hermanek, P., Sobin, L.H., eds.), 4th Edition, Springer-Verlag, Heidelberg.CrossRefGoogle Scholar
Wara, M. W., Mauch, P. M., Thomas, A. N., Phillips, T.L. (1976) Palliation for carcinoma of the esophagus. Radiology 121: 717–720CrossRefGoogle ScholarPubMed