Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-28T04:43:53.015Z Has data issue: false hasContentIssue false

Laparoscopically assisted total laryngopharyngoesophagectomy with gastric transposition

Published online by Cambridge University Press:  29 June 2007

P. Montgomery
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, St. Mary's Hospital, Paddington, London, UK
P. D. Willson*
Affiliation:
Department of General Surgery, St. Mary's Hospital, Paddington, London, UK
G. Mochloulis
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, St. Mary's Hospital, Paddington, London, UK
N. S. Tolley
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, St. Mary's Hospital, Paddington, London, UK
R. D. Rosin
Affiliation:
Department of General Surgery, St. Mary's Hospital, Paddington, London, UK
*
Address for correspondence: Mr P. D. Willson, B.Sc., F.R.C.S., 34 Breamwater Gardens, Ham, Richmond, Surrey TW10 7SR Fax: 0171 725 1571

Abstract

Pharyngolaryngoesophagectmy (PLO) for post-cricoid tumour offers opportunity for cure or reasonable paliation. However, it carries significant morbidity and mortality. We present two patients with post-cricoid carcinomas who underwent laparoscopically-assisted total PLO with gastric transposition without a laparotomy, thoracotomy or thoracoscopy. This technique appears promising for patients with post-cricoid or hypopharyngeal malignancy in reducing operative morbidity, and may represent improvement on conventional open and thoracoscopic techniques in selected patients.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1996

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

Azagra, J. S., Ceuterick, M., Goergen, M., Jacobs, D., Gilbart, E., Zaouk, G., Carlier, E., Lejeune, P., Alle, J. L., Mathys, M. (1993) Thoracoscopy in oesophagectomy for oesophageal cancer. British Journal of Surgery 80: 320321.CrossRefGoogle ScholarPubMed
Bessell, J. R., Maddern, G. J., Manncke, K., Ludbrook, G., Jamieson, G. G. (1994) Combined thoracoscopic and laparoscopic oesophagectomy and oesophagogastric reconstruction. Endoscopic Surgery and Allied Technologies 2: 3236.Google ScholarPubMed
Chatoopadhyay, T. K., Sharma, S. K., Singh, B. P. (1993) Postoperative pulmonary complications and serial pulmonary functions and arterial blood gases in patients undergoing oesophagectomy with or without a thoracotomy. Indian Journal of Chest Diseases and Allied Sciences 35: 1726.Google ScholarPubMed
Collard, J. M., Lengele, B., Otte, J. B., Kestens, P. J. (1993) En bloc and standard esophagectomies by thoracoscopy. Annals of Thoracic Surgery 56: 675679.CrossRefGoogle ScholarPubMed
Crozier, T. A., Sydow, M., Siewert, J. R., Braun, U. (1992) Postoperative pulmonary complication rate and long-term changes in respiratory function following esophagectomy with esophagogastrostomy. Acta Anaesthesiologica Scandinavica 36: 1015.CrossRefGoogle ScholarPubMed
Cuschieri, A. (1994) Thoracoscopic subtotal oesophagectomy. Endoscopic Surgery and Allied Technologies 2: 2125.Google ScholarPubMed
Gossot, D., Fourquier, P., Celerier, M. (1993) Thoracoscopic esophagectomy: technique and initial results. Annals of Thoracic Surgery 56: 667670.CrossRefGoogle ScholarPubMed
Gossot, D., Fourquier, P., Celerier, M. (1994) Thoracoscopic oesophagectomy. Annales Chirurgiae et Gynaecologiae 83: 162166.Google ScholarPubMed
Katariya, K., Harvey, J. C., Pina, E., Beattie, E. J. (1994) Complications of transhiatal esophagectomy. Journal of Surgical Oncology 57: 157163.CrossRefGoogle ScholarPubMed
Kmiot, W. A., Wexner, S. D. (1995) Laparoscopy in colorectal surgery: a call for careful appraisal. British Journal of Surgery 82: 2526.CrossRefGoogle Scholar
Lloyd, D. M., Vipond, M., Robertson, G. S., Hanning, C., Veitch, P. S. (1994) Thoracoscopic oesophago-gastrectomy a new technique for intra-thoracic stapling. Endoscopic Surgery and Allied Technologies 2: 2631.Google ScholarPubMed
McAnena, O. J., Rogers, J., Williams, N. S. (1994) Right thoracoscopically assisted oesophagectomy for cancer. British Medical Journal 81: 236238.Google ScholarPubMed
Moores, D. W., lives, R., Cooper, J. D., Todd, T. R., Pearson, F. G. (1983) One-stage reconstruction for pharyngolaryngectomy. Esophagectomy and pharyngogastrostomy without thoracotomy. Journal of Thoracic and Cardiovascular Surgery 85: 330336.Google Scholar
Nduka, C. C., Monson, J. R. T., Menzies-Gow, N., Darzi, A. (1994) Abdominal wall metastases following laparoscopy. British Journal of Surgery 81: 648652.CrossRefGoogle ScholarPubMed
Patti, M. G., Wiener-Kronish, J. P., Way, L. W., Pellegrini, C. A. (1991) Impact of transhiatal esophagectomy on cardiac and respiratory function. American Journal of Surgery 162: 563567.CrossRefGoogle ScholarPubMed
Robertson, G. S. M., Lloyd, D. M., Wicks, A. C. B., Veitch, P. S. (1996) No obvious advantages for thoracoscopic twostage oesophagectomy. British Journal of Surgery 83: 675678.CrossRefGoogle ScholarPubMed
Slattery, P., Hinder, R., Gengler, J., Montag, M., Thomas, D., Filipi, C. J., Cordova, J. (1994) Thoracoscopically assisted esophagectomy with gastric pull-up for esophageal cancer. Surgical Laparoscopy and Endoscopy 4: 448451.Google ScholarPubMed