Use of left colon for reconstruction of pharynx and œsophagus after pharyngectomy

Laparoscopic Gastric Mobilization in Postcricoid Cancer Surgery

“…Median age was 40 (range, 28-65) years in both groups. The mean duration of surgery was 3.5 (range, [3][4][5][6] hours in the laparoscopic group and 5.5 (range, 4-6.5) Table 1. In the laparoscopy group, there were two (8%) perioperative deaths, one due to internal jugular vein blowout following anastomotic leak and one due to tracheal injury.…”

4 Pharyngoesophageal Reconstruction

“…5,6,7,8,9,10,11,12,13 Subsequently, the pedicled colon and jejunum also became popular flaps for such reconstructions. 14,15,16 Although one-stage reconstruction could be accomplished with these techniques, removing the normal thoracic esophagus and using this technique only to reconstruct a pharyngeal and cervical esophageal defect are rather "inefficient" techniques with high The hypopharynx is located behind the larynx and in continuity with the oral pharynx superiorly and the cervical esophagus inferiorly. Due to its proximity to the larynx, a total laryngectomy for cancers in this region often results in a partial or circumferential pharyngoesophageal defect requiring reconstruction.…”

Single-Stage Reconstruction of Hypopharyngoesophageal Stenosis

“…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] …”