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Article: Reconstruction of hypopharyngeal defects in cancer surgery: Do we have a choice?

TitleReconstruction of hypopharyngeal defects in cancer surgery: Do we have a choice?
Authors
Issue Date1987
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjsurg
Citation
American Journal Of Surgery, 1987, v. 154 n. 4, p. 374-380 How to Cite?
AbstractBetween 1982 and 1985, 83 patients with hypopharyngeal or extensive laryngeal cancers underwent pharyngoesophagectomy (48 patients), circumferential pharyngectomy (8 patients) and partial pharyngectomy (27 patients), depending on the site and extent of tumor involvement. The resultant hypopharyngeal defects were reconstructed with gastric transposition, a tubed pectoralis major myocutaneous flap, and a pectoralis major flap patch, respectively. There were three hospital deaths in the gastric transposition group (6 percent) and none in both pectoralis major flap groups. The leakage rate was 8.3 percent in the gastric transposition group, 25 percent in the tubed pectoralis major flap group, and 3.7 percent in the pectoralis major flap patch group. Stricture was avoided with the interdigitation technique used at the tubed-flap-to-esophagus anastomosis, although the fistula rate was high. The overall complication rate was higher with gastric transposition. Although swallowing was satisfactory in all three groups, 42 percent of the patients with gastric transposition experienced regurgitation. Over a follow-up period of 16 to 50 months the local recurrence rate was 5 percent, and the actuarial survival rate was 55 percent at 24 months.
Persistent Identifierhttp://hdl.handle.net/10722/172566
ISSN
2015 Impact Factor: 2.403
2015 SCImago Journal Rankings: 1.286
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLau, WFen_US
dc.contributor.authorLam, KHen_US
dc.contributor.authorWei, WIen_US
dc.date.accessioned2012-10-30T06:23:26Z-
dc.date.available2012-10-30T06:23:26Z-
dc.date.issued1987en_US
dc.identifier.citationAmerican Journal Of Surgery, 1987, v. 154 n. 4, p. 374-380en_US
dc.identifier.issn0002-9610en_US
dc.identifier.urihttp://hdl.handle.net/10722/172566-
dc.description.abstractBetween 1982 and 1985, 83 patients with hypopharyngeal or extensive laryngeal cancers underwent pharyngoesophagectomy (48 patients), circumferential pharyngectomy (8 patients) and partial pharyngectomy (27 patients), depending on the site and extent of tumor involvement. The resultant hypopharyngeal defects were reconstructed with gastric transposition, a tubed pectoralis major myocutaneous flap, and a pectoralis major flap patch, respectively. There were three hospital deaths in the gastric transposition group (6 percent) and none in both pectoralis major flap groups. The leakage rate was 8.3 percent in the gastric transposition group, 25 percent in the tubed pectoralis major flap group, and 3.7 percent in the pectoralis major flap patch group. Stricture was avoided with the interdigitation technique used at the tubed-flap-to-esophagus anastomosis, although the fistula rate was high. The overall complication rate was higher with gastric transposition. Although swallowing was satisfactory in all three groups, 42 percent of the patients with gastric transposition experienced regurgitation. Over a follow-up period of 16 to 50 months the local recurrence rate was 5 percent, and the actuarial survival rate was 55 percent at 24 months.en_US
dc.languageengen_US
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjsurgen_US
dc.relation.ispartofAmerican Journal of Surgeryen_US
dc.subject.meshAnastomosis, Surgicalen_US
dc.subject.meshEsophagus - Surgeryen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHumansen_US
dc.subject.meshHypopharynx - Surgeryen_US
dc.subject.meshLaryngeal Neoplasms - Mortality - Pathology - Surgeryen_US
dc.subject.meshMaleen_US
dc.subject.meshMethodsen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNeoplasm Recurrence, Localen_US
dc.subject.meshNeoplasm Stagingen_US
dc.subject.meshPectoralis Muscles - Surgeryen_US
dc.subject.meshPostoperative Careen_US
dc.subject.meshPostoperative Complicationsen_US
dc.subject.meshStomach - Surgeryen_US
dc.subject.meshSurgical Flapsen_US
dc.titleReconstruction of hypopharyngeal defects in cancer surgery: Do we have a choice?en_US
dc.typeArticleen_US
dc.identifier.emailWei, WI: hrmswwi@hku.hken_US
dc.identifier.authorityWei, WI=rp00323en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/0002-9610(89)90007-X-
dc.identifier.pmid3661840-
dc.identifier.scopuseid_2-s2.0-0023571986en_US
dc.identifier.volume154en_US
dc.identifier.issue4en_US
dc.identifier.spage374en_US
dc.identifier.epage380en_US
dc.identifier.isiWOS:A1987K368200007-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridLau, WF=7402933215en_US
dc.identifier.scopusauthoridLam, KH=7403657342en_US
dc.identifier.scopusauthoridWei, WI=7403321552en_US

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