Pharyngolaryngo- esophagectomy with immediate gastric pull-up

ABSTRACT

This paper documents our experience with patients who underwent laryngopharyngo- esophagectomy with immediate gastric pull-up procedures. Fifteen patients with carcinoma of the hypopharynx and cervical esophagus underwent total laryngopharyngo-esophagectomy with immediate gastric pull-up procedures over a period of nine years at the Asir Central Hospital in the southwestern region of Saudi Arabia. The most common complication was cervical fistula, which with its sequelae occurred in 40%. Postoperative function in terms of swallowing ability was good but rehabilitation of speech was poor. The overall hospital mortality was 7%, and the crude survival rate was 40%. The most common cause of long-term failure was the recurrence of the disease. The success of this operative procedure depends on wide surgical excision of cancer along with rapid reconstruction of alimentary canal