Pharyngolaryngectomy, with immediate pharyngogastric anastomosis

Quesne, L. P. Le; Ranger, D.

doi:10.1002/bjs.1800530206

Cited by 188 publications

(67 citation statements)

References 2 publications

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“…Total pharyngolaryngo-oesophagectomy is generally accepted for the late stages of postcricoid carcinoma [11], and the many reconstructive procedures suggested include gastric transposition [2,6,19,20], colonic transposition, with a mortality rate of be tween 15 and 20% [9,21,22], and various cervical and chest skin flaps, which require multistage operations [23,24], The most re cent procedure involves a free jejunal inter position graft. This, however, requires spe cial expertise in microvascular techniques and has initially been associated with a high rate of graft failure and morbidity [25], al though recent reports have shown better im mediate results [7], In our series the majority of the recon structions were done by gastric transposi tion.…”

Section: Discussionmentioning

confidence: 99%

“…Since 1958, when Ong and Lee [1] described the technique of bringing the stomach up to the neck to replace the hypopharynx and oesophagus in a three-stage procedure, surgical resection of the laryngopharynx in postcricoid carcinoma became a possibility. This reconstruction procedure became even more generally accepted after the modification described by Le Quesne and Ranger [2] in 1966, in which thoracot omy could be omitted by carrying out blunt dissection via the hiatus followed by gastric pull-up. The optimal reconstructive procedure is still controversial.…”

Section: Introductionmentioning

confidence: 99%

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Postcricoid Carcinoma: Results after Visceral Transposition and Pattern of Recurrence in 27 Patients

El-Naqeeb¹,

Behbehani

Dashti

et al. 1990

Med Principles Pract

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Twenty-seven patients with postcricoid carcinoma treated by resection and visceral transposition of the stomach (24), colon (2) or jejunum (1) were studied at Kuwait Cancer Control Centre. Their age and sex distribution, TNM classification, postoperative complications and recurrence rate during the 4- to 8-year follow-up period was analysed. Adjuvant postoperative radiotherapy was given to 22 patients, while 1 patient had pre-operative radiotherapy. The overall 5-year survival rate was 26%. This rate was higher in patients in which the cervical lymph nodes were not involved (44%), compared to those in which they were (17%). The reconstructive procedure using gastric transposition was well tolerated with low operative mortality and low morbidity, provided that proper mediastinal drainage and preservation of the parathyroid glands was achieved. Greater attention to local nodal dissection and postoperative adjuvant radiotherapy may lower the recurrence rate.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Postcricoid Carcinoma: Results after Visceral Transposition and Pattern of Recurrence in 27 Patients

El-Naqeeb¹,

Behbehani

Dashti

et al. 1990

Med Principles Pract

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“…Postpharyngolaryngectomy repair with a. Stuart's tube 1 b. Pedicledcolon 2,3 or ileal interposition c. Free jejunal or gastric antral grafts with microvascular anastomosis [4][5][6][7][8] d. Stomach pull-up [9][10] e. Local or regional skin grafts 11 f. Myocutaneousflaps [12][13][14] …”

Section: Introductionmentioning

confidence: 99%

Single-Stage Reconstruction of Hypopharyngoesophageal Stenosis

Younus

1987

Ann Saudi Med

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Reconstruction of stenosis of the hypopharyngoesophageal region poses a major surgical challenge and involves laryngectomy or pharyngolaryngectomy with a wide variety of reconstructing procedures. One patient with postcricoid stenosis which resulted from treatment by radiotherapy for postcricoid carcinoma four years earlier and another patient with congenital hypopharyngoesophageal stricture underwent repair of stenosis without laryngectomy using sternomastoidmyocutaneous flap. Although it is a small series of two cases, this proved to be a safe, easy, single-stage procedure which does not require laryngectomy and so saves the patient's normal speech. Stenosis. 1987; 7(4): 312-315 MeSH M Younus, Single-Stage Reconstruction of Hypopharyngoesophageal

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“…[2][3][4] Combined radiation treatment, followed by surgery for salvage, is better therapy for stages I, II, and III. [5][6][7] The high recurrence rate is attributed largely to the difficulty in determining the true extent of the tumor. This necessitates wide resection, including laryngopharyngo-esophagectomy, in order to minimize recurrence.…”

mentioning

confidence: 99%

“…2,3,8,11 Gastric pull-up operation was first employed by Ong and Lee 12 in 1960. The procedure was modified by Lequesne and Ranger, 7 Stell, 10 Leonard and Maran, 11 and Silver. 2 Gastric pull-up through the posterior mediastinum by traction of the esophagus, and anastomosing the stomach to the pharyngeal stump, accompanied by pyloromyotomy and jejunostomy was the procedure used in our institute.…”

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confidence: 99%

Pharyngolaryngo-Esophagectomy with Immediate Gastric Pull-Up

Ghamdi

1998

Ann Saudi Med

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Background: This paper documents our experience with patients who underwent laryngopharyngo-esophagectomy with immediate gastric pull-up procedures. Patients and Method: Fifteen patients with carcinoma of the hypopharynx and cervical esophagus underwent total laryngopharyngo-esophagectomy with immediate gastric pull-up procedures over a period of nine years at the Asir Central Hospital in the southwestern region of Saudi Arabia. Results: The most common complication was cervical fistula, which with its sequelae occurred in 40%. Postoperative function in terms of swallowing ability was good but rehabilitation of speech was poor. The overall hospital mortality was 7%, and the crude survival rate was 40%. The most common cause of long-term failure was the recurrence of the disease. Conclusion:The success of this operative procedure depends on wide surgical excision of cancer along with rapid reconstruction of alimentary canal. Ann Saudi Med 1998;18(2):132-134.

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Pharyngolaryngectomy, with immediate pharyngogastric anastomosis

Cited by 188 publications

References 2 publications

Postcricoid Carcinoma: Results after Visceral Transposition and Pattern of Recurrence in 27 Patients

Postcricoid Carcinoma: Results after Visceral Transposition and Pattern of Recurrence in 27 Patients

Single-Stage Reconstruction of Hypopharyngoesophageal Stenosis

Pharyngolaryngo-Esophagectomy with Immediate Gastric Pull-Up

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