下咽頭・頸部食道癌に対する胃管吊り上げ術 Gastric Pull-up Reconstruction for Hypopharyngeal and Cervical Esophageal Cancers

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Nineteen cases of hypopharyngeal and cervical esophageal cancer treated primarily with laryngopharyngoesophagectomy and gastric pull-up reconstruction are presented. Thirteen patients received radiotherapy preoperatively, and 4 patients postoperatively.<br>The perioperative morbidity rate was 47% (cutaneous fistula: 21%), reflux: 21%, pyloric stenosis: 11%, but most of the complications were minor. There were no fatal intrathoracic and mediastinal complications.<br>The mean time to oral intake was 26 days and the mean length of hospitalization was 110 days.<br>Although 4 patients had neck nodal recurrences, two of them were salvaged and the others died of intercurrent diseases. Five patients suffered distant relapses that were fatal. No patient had local recurrence. The 5-year survival rate of the hypopharyngeal group and cervical esophagus group was 46% and 49% respectively.<br>Gastric pull-up reconstruction is a safe and effective technique for patients with extensive carcinoma of the hypopharynx and cervical esophagus.

収録刊行物

  • 耳鼻咽喉科臨床

    耳鼻咽喉科臨床 94(3), 283-286, 2001-03-01

    The Society of Practical Otolaryngology

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各種コード

  • NII論文ID(NAID)
    10008096286
  • NII書誌ID(NCID)
    AN00107089
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00326313
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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