中国耳鼻咽喉头颈外科2017，Vol.24Issue(5)：225-227,3.DOI:10.16066/j.1672-7002.2017.05.002
下咽及颈胸段食管多原发癌一期手术
One stage surgical treatment of multiple primary carcinoma of hypopharynx and esophagus
张炳煌 1骆献阳 1黄煦格 2陈爱民 1姜元芹 1蔡成福 1于修义3
作者信息
- 1. 厦门大学附属第一医院耳鼻咽喉头颈外科,福建 厦门361003
- 2. 广州中医药大学第一临床医学院,广东 广州510000
- 3. 厦门大学附属第一医院胸外科,福建 厦门361003
- 折叠
摘要
Abstract
OBJECTIVE To discuss the therapeutic effect of one stage surgical treatment in the multiple primary hypopharyngeal and cervical thoracic esophageal carcinoma.METHODS The thoracoscopy group: dissecting the esophagus and mediastinal lymph node assisted with thoracoscope, and then opened abdominal cavity to make gastric tube. Head and neck group: doing the cervical lymph node dissection, total laryngectomy, total hypopharyngectomy and total esophagectomy, and then anastomosis of the pharynx with gastric tube. All cases were received conventional radiotherapy and chemotherapy after operation.RESULTS All the cases in this group were successfully underwent the one stage operation. The postoperative complications were pulmonary infection in 3 cases, pleural effusion in 2 cases and tracheal tear in one case. No anastomotic fistula or postoperative deaths occurred. The 3 and 5 year survival rates were 63.6% and 50.0% respectively.CONCLUSION It should take necessary examinations of cervical thoracic esophagus to prevent missing the multiple primary carcinoma of the hypopharyngeal carcinoma. The total laryngectomy, total hypopharyngectomy and total esophagectomy, and anastomosis of the pharynx with gastric tube for multiple primary hypopharyngeal and cervical thoracic esophageal carcinoma is a feasible and active treatment method.关键词
下咽肿瘤/食管肿瘤/外科手术/胸腔镜检查/胃成形术/多原发癌Key words
Hypopharyngeal Neoplasms/Esophageal Neoplasms/Surgical Procedures/Operative/Thoracoscopy/Gastroplasty/multiple primary carcinoma引用本文复制引用
张炳煌,骆献阳,黄煦格,陈爱民,姜元芹,蔡成福,于修义..下咽及颈胸段食管多原发癌一期手术[J].中国耳鼻咽喉头颈外科,2017,24(5):225-227,3.
