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Mortality and morbidity of primary pharyngogastric anastomosis following circumferential excision for hypopharyngeal malignancies
Author(s) -
Mehta Samir A.,
Sarkar Sudeep,
Mehta Ashok R.,
Mehta Mona S.
Publication year - 1990
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930430107
Subject(s) - medicine , surgery , hypopharyngeal cancer , dysphagia , esophagus , anastomosis , mortality rate , neck dissection , esophagectomy , pyriform sinus , pharynx , survival rate , cancer , esophageal cancer , radiation therapy , fistula
Seventy‐five patients underwent gastric transposition for replacement of the pharyngoesophagus. These patients had primary or recurrent malignant tumors of the hypopharynx, postcricoid region, and cervical esophagus. The operative procedure consisted of a transhiatal esophagectomy and gastric pull‐up to establish gastrointestinal continuity, with a unilateral or bilateral neck dissection where indicated. Seven patients died, a mortality rate of 9.33%. The average hospital stay of uncomplicated cases was 18 days and for complicated cases was 40 days. Immediate restoration of oral intake was achieved in 70.6% of patients. We conclude that gastric transposition after circumferential laryngopharyngeal excision is a procedure with low mortality and acceptable morbidity leading to early relief of dysphagia.