Results after radical surgical treatment for advanced carcinoma of hypopharynx

• Published in: Central European journal of medicine Vol. 4; no. 4; pp. 512 - 518
• Main Authors: Hasdemir, Oğuz Ahmet, Çöl, Cavit, Büyükaşık, Oktay, Akçayöz, Nihat
• Format: Journal Article
• Language: English
• Published: Heidelberg Heidelberg : SP Versita 01.12.2009; SP Versita; Versita; Walter de Gruyter GmbH; De Gruyter
• Subjects: Biomedicine; Carcinoma of hypopharynx; Gastric pull up; Internal Medicine; Maternal and Child Health; Medicine; Medicine & Public Health; Pharyngo-laryngo-esophagectomy; Reproductive Medicine; Research Article; Surgery; Gastric pull up; Pharyngo-laryngo-esophagectomy; Carcinoma of hypopharynx
• ISSN: 1895-1058; 2391-5463; 1644-3640; 2391-5463
• DOI: 10.2478/s11536-009-0017-6

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.