Substitution of esophagus with stomach or colon without thoracotomy in the treatment of cervical esophageal carcinoma with laryngeal function preserved / 中华肿瘤杂志
Chinese Journal of Oncology
; (12): 181-182, 2004.
Article
in Chinese
| WPRIM (Western Pacific)
| ID: wpr-271023
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To study the feasibility and effect of substituting esophagus with stomach or colon without thoracotomy in the treatment of cervical esophageal carcinoma with laryngeal function preserved.</p><p><b>METHODS</b>Twenty-four patients with cervical esophageal carcinoma were retrospectively reviewed. The esophagus was resected and substituted with 19 gastric pull-up and 5 colon interposition. Nineteen patients received radiotherapy postoperatively (dose 50 - 70 Gy).</p><p><b>RESULTS</b>Twenty two patients were follow up over 3 years. The 3- and 5-year survival rates for T2 were 3 and 1, for T3, T4 8 and 3, respectively. The laryngeal function preservation rate was 77% (17/24) and the decannulation rate was 75% (12/16). The complication rate was 29%.</p><p><b>CONCLUSION</b>Surgical resection of cervical esophageal carcinoma with removal of the extraesophageal invaded tissues while preserving the laryngeal function is possible. The continuity of the esophagus is restored by stomach transposition and colon interposition. Combined with radiotherapy, the survival rate and life quality of the patient might be improved.</p>
Full text:
Available
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Cervical Cancer
/
Colon and Rectum Cancers
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Digestive System Diseases
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Esophagus Cancer
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Larynx Cancer
/
Stomach Cancer
Database:
WPRIM (Western Pacific)
Main subject:
Quality of Life
/
General Surgery
/
Esophageal Neoplasms
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Thoracotomy
/
Survival Rate
/
Follow-Up Studies
/
Mortality
/
Esophagoplasty
/
Larynx
/
Methods
Type of study:
Observational study
/
Prognostic study
Aspects:
Patient-preference
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Oncology
Year:
2004
Document type:
Article