Mortality and morbidity of primary pharyngogastric anastomosis following circumferential excision for hypopharyngeal malignancies
作者:
Samir A. Mehta,
Sudeep Sarkar,
Ashok R. Mehta,
Mona S. Mehta,
期刊:
Journal of Surgical Oncology
(WILEY Available online 1990)
卷期:
Volume 43,
issue 1
页码: 24-27
ISSN:0022-4790
年代: 1990
DOI:10.1002/jso.2930430107
出版商: Wiley Subscription Services, Inc., A Wiley Company
关键词: larynx;pharynx;esophagus;gastric pull‐up
数据来源: WILEY
摘要:
AbstractSeventy‐five patients underwent gastric transposition for replacement of the pharyngoesophagus. These patients had primary or recurrent malignant tumors of the hypopharynx, postcricoid region, and cervical esophagus. The operative procedure consisted of a transhiatal esophagectomy and gastric pull‐up to establish gastrointestinal continuity, with a unilateral or bilateral neck dissection where indicated. Seven patients died, a mortality rate of 9.33%. The average hospital stay of uncomplicated cases was 18 days and for complicated cases was 40 days. Immediate restoration of oral intake was achieved in 70.6% of patients. We conclude that gastric transposition after circumferential laryngopharyngeal excision is a procedure with low mortality and acceptable morbidity leading to early relief of dyspha
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