Results after radical surgical treatment for advanced carcinoma of hypopharynx
Central European Journal of Medicine, cilt.4, sa.4, ss.512-518, 2009 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 4 Sayı: 4
- Basım Tarihi: 2009
- Doi Numarası: 10.2478/s11536-009-0017-6
- Dergi Adı: Central European Journal of Medicine
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.512-518
- Anahtar Kelimeler: Carcinoma of hypopharynx, Pharyngo-laryngo-esophagectomy, Gastric pull up
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
The aim of the study was to investigate patients with hypopharyngeal cancer. And this study focuses on a case series with hypopharynx cancer and cervical oesophageal cancer invading the hypopharynx. There were 13 cases over a period of 8 years, treated with pharyngo-laryngo-esophagectomy (PLE) and cervical lymph node dissection. In 10 of the patients, reconstruction was done with gastric pull-up (GP). In 3 of the 10 patients gastric reconstruction was added to aid in pyloric drainage (2 pyloromyotomy and 1 pyloroplasty) but the remaining 7 patients did not receive such procedures. The reconstruction of the digestive system after PLE is still a matter of debate. GP method is the most frequently preferred method for reconstruction. We believe that a more important problem than gastric drainage is the reflux of the gastric content and pyloric drainage which will not have a positive effect for solving this clinical situation. But we need bigger series for analyze of this specific condition. © 2009 Versita Warsaw and Springer-Verlag Berlin Heidelberg.