Problems in reconstructive surgery in the treatment of carcinoma of the hypopharyngoesophageal junction

Mario Bussi, Vittorio Ferrero, Elena Riontino, Guido Gasparri, Michele Camandona, Giorgio Cortesina

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background and Objectives: Thirty percent of carcinomas of the pyriform sinus manifest generally with infiltrations in the cervical esophagus. In recent years, progress in reconstructive surgery has broadened surgical indications to include tumors previously managed with palliative measures alone. In some cases, radical surgery has been extended to creating safer resection margins, with more and more indications for circular pharyngectomy. Lesions involving the hypopharyngoesophageal junction pose particular problems; furthermore, the high rate of synchronous or metachronous tumors warrants the indication for total esophagectomy, which requires complex reconstructive techniques. Methods: We report on a series of 21 patients who underwent pharyngocoloplasties after receiving total pharyngolaryngoesophagectomy. Results: With regard to the oncologic results, after a follow-up of 2-60 months, 9 patients had no evidence of disease, 5 patients died during the postoperative course, 2 patients survived with disease, 4 died with disease, 1 died from metachronous breast carcinoma, and 7 underwent reintervention. Conclusions: In cases in which reconstruction by gastric pull-up is considered risky, if not contraindicated, pharyngocoloplasty represents a particularly reliable treatment option. The limits and advantages of the technique are discussed. The procedure permitted us to reconstruct the digestive tract, without encountering problems any more serious than those a normal gastric pull-up procedure would pose. (C) 2000 Wiley-Liss, Inc.

Original languageEnglish
Pages (from-to)130-133
Number of pages4
JournalJournal of Surgical Oncology
Volume74
Issue number2
DOIs
Publication statusPublished - 2000

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Reconstructive Surgical Procedures
Carcinoma
Pharyngectomy
Stomach
Pyriform Sinus
Esophagectomy
Therapeutics
Esophagus
Gastrointestinal Tract
Neoplasms
Breast Neoplasms

Keywords

  • Hypopharyngoesophageal carcinomas
  • Hypopharyngoesophagectomy
  • Reconstructive surgery

ASJC Scopus subject areas

  • Surgery
  • Oncology

Cite this

Problems in reconstructive surgery in the treatment of carcinoma of the hypopharyngoesophageal junction. / Bussi, Mario; Ferrero, Vittorio; Riontino, Elena; Gasparri, Guido; Camandona, Michele; Cortesina, Giorgio.

In: Journal of Surgical Oncology, Vol. 74, No. 2, 2000, p. 130-133.

Research output: Contribution to journalArticle

Bussi, Mario ; Ferrero, Vittorio ; Riontino, Elena ; Gasparri, Guido ; Camandona, Michele ; Cortesina, Giorgio. / Problems in reconstructive surgery in the treatment of carcinoma of the hypopharyngoesophageal junction. In: Journal of Surgical Oncology. 2000 ; Vol. 74, No. 2. pp. 130-133.
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