[The perioperative treatment of hypopharyngeal carcinoma with cervical esophageal invasion].

Lin Chuang Er Bi Yan Hou Ke Za Zhi

Department of Otolaryngology, Affiliated Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, 200031, China.

Published: December 2004

Objective: To present our experiences of perioperative therapy on 7 patients suffered from hypopharyngeal carcinoma with cervical esophageal invasion.

Method: Among the 7 patients, 6 patients had unilateral functional neck dissection, total laryngoesophagectomy and reconstruction with gastric pulling-up. One patient had gastrectomy, reconstruction with colonic pulling-up as well as radical neck dissection, total laryngoesophagectomy. Five of 7 patients have unilateral partial thyroidectomy.

Result: All patients complained of vomiting and other abnomalities of digestion, 1 case complicated with pharyngocutaneous fistula, 1 patient developed acute renal failure, postoperatively.

Conclusion: It is very important to improve theraputic skill during perioperative period,which can reduce complications of advanced hypopharyngeal and cervical esophageal cancer and increase patients' survival.

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