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Title   인두후두식도 절제술후 인두위문합술 ( Pharyngolaryngoesophagectomy with Pharyngogastric Anastomosis )
Publicationinfo   1991 Jan; 023(02): 375-380.
Key_word   Pharyngolaryngoesophagectomy, Transhiatal, Squamous cell carcinoma
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Abstract   Between June, 1986 and May 1990, 5 patients underwent pharyngolaryngoesophagectomy with transhiatal gastric transposition and primary pharyngogastric anastomosis for laryngeal and cervical esophageal carcinoma. All patients had squamous cell carcinoma. one patient had been treated initially by radiotherapy, two patients had been treated by chemotherapy and one patient had been treated by both modality, but the tumor had either persisted or recurred. There was one postoperative death in 24th postoperative day due to sudden carotid artery rupture. Pneumothorax was occurred in one patient during operation and chest tube was inserted. Anastomotic leakage and hypocalcemia was developed in one patient who had preop radiotherapy and total thyroidectomy and bilateral radical neck dissection and he died later. The four uncomplicated patient had satisfactory swallowing with 2 weeks postopeatively. Mean survival was 10 months in uncomplicated patients. At present, pharyngolaryngoesophagectomy with gastric transpositian and primary pharyngogastric anastomosis offers the best chance for cure or palliation with acceptable morbidity and function for selected patients with advanced hypopharyngeal, laryngeal and cervical esophageal cancers.
저 자   김충배(Coong Bai Kim),박희붕(Hee Boong Park),민진식(Jin Sik Min),홍원표(Won Pyo Hong)