GASTRIC PULL-UP RECONSTRUCTION FOR PHARYNGOLARYNGOESOPHAGECTOMY IN HEAD AND NECK CANCER AND CERVICAL ESOPHAGEAL SQUAMOUS CELL CARCINOMA

There are many techniques for reconstruction after total pharyngolaryngoesophagectomy. The use of a transposed stomach to restore gastrointestinal continuity, and this combined cervical and abdominal approach for pharyngolaryngoesophagectomy and gastric pull up has become one of the most popular. Th...

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Main Authors: J. Rezaie, H. Peyvandi, H.R. Hallaj-Mofrad, A. Khaji B. Shakiba
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2007-12-01
Series:Acta Medica Iranica
Subjects:
Online Access:https://acta.tums.ac.ir/index.php/acta/article/view/3320
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author J. Rezaie
H. Peyvandi
H.R. Hallaj-Mofrad
A. Khaji B. Shakiba
author_facet J. Rezaie
H. Peyvandi
H.R. Hallaj-Mofrad
A. Khaji B. Shakiba
author_sort J. Rezaie
collection DOAJ
description There are many techniques for reconstruction after total pharyngolaryngoesophagectomy. The use of a transposed stomach to restore gastrointestinal continuity, and this combined cervical and abdominal approach for pharyngolaryngoesophagectomy and gastric pull up has become one of the most popular. This retrospective study is a review of 50 consecutive Iranian patients who underwent pharyngolaryngoesophagectomy and gastric pull up in Amir-Alam Hospital affiliated to Tehran University of Medical Sciences, to determine the complication and survival rates. The clinical data of 50 consecutive cases of cervical esophagus carcinoma and squamous cell carcinoma of the hypopharynx treated by pharyngolaryngoesophagectomy and gastric pull-up were analysed. The age, gender, operating room time, operative mortality, major postoperative complications and survival rate were retrieved. Survival time was studied using Kaplan-Meier method. The postoperative complications were wound infection in five patients, pulmonary complications in ten, Stomal stenosis in six, cutaneous fistula in four, Gastric outlet obstruction in three. There were no intraoperative deaths. One month mortality was 10 per cent. The median survival for patients who underwent pharyngolaryngoesophagectomy and gastric pull-up procedures was 21 months and the 5-year survival was 18%.
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spelling doaj.art-336e3d5557264f91986d2ae8078fa9762022-12-22T03:18:10ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942007-12-01456GASTRIC PULL-UP RECONSTRUCTION FOR PHARYNGOLARYNGOESOPHAGECTOMY IN HEAD AND NECK CANCER AND CERVICAL ESOPHAGEAL SQUAMOUS CELL CARCINOMA J. Rezaie0 H. Peyvandi1 H.R. Hallaj-Mofrad2 A. Khaji B. Shakiba3 There are many techniques for reconstruction after total pharyngolaryngoesophagectomy. The use of a transposed stomach to restore gastrointestinal continuity, and this combined cervical and abdominal approach for pharyngolaryngoesophagectomy and gastric pull up has become one of the most popular. This retrospective study is a review of 50 consecutive Iranian patients who underwent pharyngolaryngoesophagectomy and gastric pull up in Amir-Alam Hospital affiliated to Tehran University of Medical Sciences, to determine the complication and survival rates. The clinical data of 50 consecutive cases of cervical esophagus carcinoma and squamous cell carcinoma of the hypopharynx treated by pharyngolaryngoesophagectomy and gastric pull-up were analysed. The age, gender, operating room time, operative mortality, major postoperative complications and survival rate were retrieved. Survival time was studied using Kaplan-Meier method. The postoperative complications were wound infection in five patients, pulmonary complications in ten, Stomal stenosis in six, cutaneous fistula in four, Gastric outlet obstruction in three. There were no intraoperative deaths. One month mortality was 10 per cent. The median survival for patients who underwent pharyngolaryngoesophagectomy and gastric pull-up procedures was 21 months and the 5-year survival was 18%.https://acta.tums.ac.ir/index.php/acta/article/view/3320Head and neck cancerReconstructive Surgical Procedures
spellingShingle J. Rezaie
H. Peyvandi
H.R. Hallaj-Mofrad
A. Khaji B. Shakiba
GASTRIC PULL-UP RECONSTRUCTION FOR PHARYNGOLARYNGOESOPHAGECTOMY IN HEAD AND NECK CANCER AND CERVICAL ESOPHAGEAL SQUAMOUS CELL CARCINOMA
Acta Medica Iranica
Head and neck cancer
Reconstructive Surgical Procedures
title GASTRIC PULL-UP RECONSTRUCTION FOR PHARYNGOLARYNGOESOPHAGECTOMY IN HEAD AND NECK CANCER AND CERVICAL ESOPHAGEAL SQUAMOUS CELL CARCINOMA
title_full GASTRIC PULL-UP RECONSTRUCTION FOR PHARYNGOLARYNGOESOPHAGECTOMY IN HEAD AND NECK CANCER AND CERVICAL ESOPHAGEAL SQUAMOUS CELL CARCINOMA
title_fullStr GASTRIC PULL-UP RECONSTRUCTION FOR PHARYNGOLARYNGOESOPHAGECTOMY IN HEAD AND NECK CANCER AND CERVICAL ESOPHAGEAL SQUAMOUS CELL CARCINOMA
title_full_unstemmed GASTRIC PULL-UP RECONSTRUCTION FOR PHARYNGOLARYNGOESOPHAGECTOMY IN HEAD AND NECK CANCER AND CERVICAL ESOPHAGEAL SQUAMOUS CELL CARCINOMA
title_short GASTRIC PULL-UP RECONSTRUCTION FOR PHARYNGOLARYNGOESOPHAGECTOMY IN HEAD AND NECK CANCER AND CERVICAL ESOPHAGEAL SQUAMOUS CELL CARCINOMA
title_sort gastric pull up reconstruction for pharyngolaryngoesophagectomy in head and neck cancer and cervical esophageal squamous cell carcinoma
topic Head and neck cancer
Reconstructive Surgical Procedures
url https://acta.tums.ac.ir/index.php/acta/article/view/3320
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