Evaluation of gastric transposition for pharyngeal repair following total laryngopharyngectomy and esophagectomy for hypopharyngeal cancer

ABSTRACT

This study included 30 patients. To all these cases total laryngopharyngectomy was performed with or without radical neck dissection and the transposed stomach was used for reconstruction at the same sitting with one safe anastomotic line and with or without gastric drainage procedure, i.e. pyloroplasty or pyloromyotomy. After reviewing tacking data the results of this surgical procedure were evaluated, which included all preoperative data, histopathological examination and staging of the tumors; All operative complications; Postoperative complications, morbidity, mortality, entral feeding and endoscopic biopsies; and hospital stay. Comparing of these results with the results of the other surgical procedures which had been used before, such as, Deltopectoral graft, pectoralis major myocutaneous flap, colon interposition and jejunal interposition graft. It was found that the surgical procedure of gastric transposition operation seems evident to be the most adequate procedure for reconstruction of the pharynex after total laryngophorenjectomy for hypopharyngeal carcinoma. The only technical problem in this surgical procedure is whether to perform a gastric drainage procedure or not