Gastric Pull-up Reconstruction for Pharyngo-laryngo-esophagectomy

Cahow, C E; Sasaki, Clarence T.

doi:10.1001/archsurg.1994.01420280103013

Cited by 39 publications

(37 citation statements)

References 23 publications

(6 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[10][11][12] GPU ile re kons trük si yon ile ri ev re özo fa gus tü mör le rin de tek aşa ma lı re kons trük si yon sağ lama sı ya nı sı ra has ta lar er ken oral bes len me ye geçe bil mek te ve has ta ne den er ken ta bur cu edi le bilmek te dir. 1,4,5,8,[13][14][15][16][17][18][19] De ği şik se ri ler de oral bes len meye ge çiş sü re si or ta la ma la rı 5-16 gün ara sın da bil diril mek te dir. 5,8,[14][15][16][17][18][19] Bi zim se ri miz de bu sü re or ta la ma 7.2 gün dü.…”

Section: Tar Tiş Maunclassified

“…1,4,5,8,[13][14][15][16][17][18][19] De ği şik se ri ler de oral bes len meye ge çiş sü re si or ta la ma la rı 5-16 gün ara sın da bil diril mek te dir. 5,8,[14][15][16][17][18][19] Bi zim se ri miz de bu sü re or ta la ma 7.2 gün dü. Has ta ne de kal ma sü re le ri ise or ta la ma 10 gün dü.…”

Section: Tar Tiş Maunclassified

“…8,15,[17][18][19] Bi zim se ri miz de bir has ta da (%6.6) flep nek ro zu ge liş ti. Schus ter man ve ark.nın 18 15 ol guluk se ri sin de iki ol gu da flep nek ro zu bil dir miş ti.…”

Section: Tar Tiş Maunclassified

“…Regür ji tas yon ve dam ping ben ze ri sen drom gi bi minör komp li kas yon lar sık ola rak gö rül me si ne rağ men has ta la rın ya kın ma la rı kon ser va tif ted birler ile kı sa sü re de gi de ri le bil mek te dir. 8,[15][16][17][18][19] De ği şik se ri ler de mor ta li te oran la rı %0-30 arasın da bil di ril mek te dir. [5][6][7][8][14][15][16][17][18][19] Bi zim se ri miz de iki olgu (%13.3) er ken pos to pe ra tif dö nem de kay be dil di.…”

Section: Tar Tiş Maunclassified

See 3 more Smart Citations

Our Experience of Gastric Pull Up Technique in Hypopharyngeal Tumors Invading Cervical Esophagus

Veyseller¹,

Aksoy²,

Ertaş³

et al. 2010

Turkiye Klinikleri J Med Sci

View full text Add to dashboard Cite

54Servikal Özofagusa Uzanan Hipofarenks Tümörlerinde Gastrik Pull Up Tecrübelerimiz Ö ÖZ ZE ET T A Am ma aç ç: : İle ri ev re hi po fa renks ve ser vi kal özo fa gus tü mör lü has ta lar da to tal la ren go fa ren go -ö zo fa jek to mi (TLFÖ ) son ra sı gas trik pull up (GPU) tek ni ği ile re kons trük si yo nun en di kas yon la rı, avan taj ve de za van taj la rı nı ir de le mek. G Ge e r re eç ç v ve e Y Yö ön n t te em m l le er r: : H Ha se ki Eği tim ve Araş tır ma Has ta ne si KBB Kli ni ğin de 1998-2008 ta rih le ri ara sın da ame li yat edi len ser vi kal özo fa gu sa uza nım gös te ren hipo fa renks kan se ri ta nı sı ko nu lan ve TLFÖ son ra sı GPU ile ne o ö zo fa gus oluş tu ru lan 15 has ta nın ve ri le ri ret ros pek tif ola rak ir de len di. En genç has ta 25, en yaş lı ise 68 idi. İki has ta er kek, 13'ü kadın dı. On üç has ta nın de mog ra fik bil gi le ri, tü mör ev re le ri, komp li kas yon lar ve sağ ka lım sü re le ri de ğer len di ril di. B Bu ul l g gu u l la ar r: : Has ta la rın tü mü yas sı epi tel hüc re li kar si nom lu idi. İki has ta (%13) erken pos to pe ra tif dö nem de kay be dil di. Ölüm se bep le ri sep sis ve graft nek ro zu idi. En sık gö rü len komp li kas yon lar re gür ji tas yon ve dam ping ben ze ri tab lo idi. Has ta ne de kal ma sü re si 7-28 gün arasın da idi ve or ta la ma sı 10 gün dü. Bir has ta da flep nek ro zu, iki has ta da fis tül komp li kas yo nu gö rül -dü. Oral bes len me ye ge çiş sü re si or ta la ma 7.2 gün ola rak sap tan dı. Onüç has ta nın do ku zu 6-22. ay lar ara sın da kay be dil di. Dört has ta ise has ta lık sız ha yat ta idi. Or ta la ma ya şam sü re si 17 ay ola rak he sap lan dı. S So o n nu uç ç: : GPU ile ona rım TLFÖ son ra sı sin di rim sis te mi de vam lı lı ğı nı sağ la ma da et ki li ve gü ve ni lir bir yön tem dir. Bu gi ri şim dü şük mor bi di te, ka bul edi le bi lir mor ta li te oran la rı ve kı sa sü -re has ta ne de kal ma ile uy gu la na bi lir bir yön tem dir.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Hipofarenks; özofajektomi; özofageal neoplaziler; hipofaenjeal neoplaziler; yassı epitel hücreli karsinom A AB BS S T TR RA AC CT T O Ob b j je ec c t ti i v ve e: : The aim of this re vi ew was to eva lu a te the in di ca ti ons, ad van ta ges and di sad van ta ges of gas tric pull up re cons truc ti on tech ni qu e fol lo wing to tal larn ygop hary ngo e sop ha gectomy in ad van ced hypop hary nge al and up per esop ha ge al ne op lasm. M Ma a t te e r ri i a al l a an nd d M Me et t h ho od ds s: : The ret ros pec ti ve da ta of 15 pa ti ents with the di ag no sis of hypop hary nge al car ci no ma who un der went gas tric pull up re cons truc ti on fol lo wing to tal larn ygop hary ngo e sop ha gec tomy in Ha se ki Tra i ning and Re se arch Hos pi tal, Otor hi no lary ngo logy de part ment from 1998 to 2008 we re eva lu a ted. Age of the yo un gest pa ti ent was 25, the ol dest one was 68 and me an age was 47. Two of them we re male and 13 we re fe ma le. De mog rap hic da ta, tu mor sta ges, comp li ca ti ons and...

show abstract

Section: Tar Tiş Maunclassified

“…8,15,[17][18][19] Bi zim se ri miz de bir has ta da (%6.6) flep nek ro zu ge liş ti. Schus ter man ve ark.nın 18 15 ol guluk se ri sin de iki ol gu da flep nek ro zu bil dir miş ti.…”

Section: Tar Tiş Maunclassified

See 2 more Smart Citations

Our Experience of Gastric Pull Up Technique in Hypopharyngeal Tumors Invading Cervical Esophagus

Veyseller¹,

Aksoy²,

Ertaş³

et al. 2010

Turkiye Klinikleri J Med Sci

View full text Add to dashboard Cite

show abstract

“…Very often there is a need for unilateral or bilateral neck dissection along with total pharyngolaryngoesophagectomy and gastric transposition (PLE&GT) [1][2][3][4]. Not infrequently, these tumors also require manubrial resection and mediastinal tracheostomy [1][2][3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Use of omentum pedicled graft to protect great vessels in gastric transposition for pharyngoesophageal cancer

et al. 1999

View full text Add to dashboard Cite

Surgical Management of Carcinoma of the Hypopharynx and Cervical Esophagus

Triboulet

Mariette²,

Chevalier³

et al. 2001

Arch Surg

198

187

View full text Add to dashboard Cite

Background: Free jejunal transfer has become the standard technique for reconstruction of the pharynx and hypopharynx, especially with proximal neoplastic lesions, whereas gastric tube interposition is the technique of choice for reconstruction of the hypopharynx and cervical esophagus when resection extends below the thoracic inlet. Hypothesis: Surgical ablation is a viable option for advanced hypopharyngeal and cervical esophageal neoplasms, with stomach interposition a safe and preferred method of reconstruction. Design: Retrospective analysis. Setting: University hospital that is a regional referral institution for esophageal cancer treatment and complex digestive reconstructions after esophagectomy. Patients: We reviewed the records of 209 patients who underwent total pharyngolaryngectomy between May 1982 and July 1999. The majority of patients had advanced cancer: hypopharyngeal in 131 cases and cervical esophageal in 78 cases. Interventions: Pharyngolaryngectomy and total esophagectomy with pharyngogastric anastomoses (n=127); pharyngolaryngectomy, cervical esophagectomy, and reconstruction with free jejunal transplant (n =77); and pharyngolaryngectomy and total esophagectomy with pharyngocolic anastomoses (n = 5). Main Outcome Measures: Postoperative mortality and morbidity, long-term survival, and prognostic factors influencing survival. Results: The postoperative in-hospital mortality rate was 4.8% (10 patients), with a postoperative morbidity rate of 38.3%. Alimentary continuity was achieved using the stomach (127 patients), colon (5 patients), or free jejunal autograft (77 patients). The 1-year and 5-year survival rates were 62% and 24%, respectively. There was no significant difference with regard to the survival between gastric transposition and free jejunal autograft, but there were fewer complications in the gastric pull-up group (33% vs 47%, PϽ.05). The significant adverse factors affecting survival were tumor cervical localization, postoperative complications, disease stages pT3 and pT4 for the cervical esophageal tumors, microscopic pharyngeal penetration, or incomplete resection. The significant beneficial factors were tumor hypopharyngeal localization and postoperative radiotherapy. Conclusions: Surgical ablation is a viable option for advanced hypopharyngeal and cervical esophageal neoplasms, with stomach interposition the preferred method of reconstruction. Although the prognosis is poor, satisfactory short-term palliation can be achieved. The significant adverse factors affecting survival should be taken into account to select the candidates for surgery.

show abstract

Gastric Pull-up Reconstruction for Pharyngo-laryngo-esophagectomy

Abstract: The gastric pull-up reconstruction is a safe, effective operation with a low mortality rate and excellent long-term functional results for patients with extensive carcinoma of the hypopharynx, larynx, and cervical esophagus.

Cited by 39 publications

References 23 publications

Our Experience of Gastric Pull Up Technique in Hypopharyngeal Tumors Invading Cervical Esophagus

Our Experience of Gastric Pull Up Technique in Hypopharyngeal Tumors Invading Cervical Esophagus

Use of omentum pedicled graft to protect great vessels in gastric transposition for pharyngoesophageal cancer

Surgical Management of Carcinoma of the Hypopharynx and Cervical Esophagus

Contact Info

Product

Resources

About