ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Özofagus Üst Uç ve Hipofarenks Karsinomalarmda Total Faringo-Laringo-Ozofajektomi
L. ÖKTEN, A. GÜNGÖR
Ankara Üniversitesi, Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Ankara

Twenty-nine patients, 18 male 11 female, with esophagus superior end, hypopharynx and invasive larynx carcinoma were operated between September 1990 - May 1994. Median age was 51 years (from 27 to 71). The localization of the tumor was esophagus superior end and hypopharynx in 26 patients, larynx in 2 patients and tracheal stoma in l patient. All the lesions were located between 14 and 19 cms from upper teeth archs. Transhiatal approach was used in 20 patients, thoracotomy and laparotomy and cervical approach in 9 patients. Bilateral cervical lymph dissection was performed in 23 patients. A mediastinal lymph dissection plus bilateral cervical dissection was performed in 9 (31%) patients. Gasrric transposition was used for reconstruction in 27 patients. Oropharyngocologastrostomy was performed for one patient who previously underwent intrathoracic anastomosis. Free vascularized jejunal graft was performed for one patient. All the patients had epidermoid cell carcinoma. Minimal anastomotic leakage developed in 7 (24.13%) patients that healed later spontaneously. The cause of perioperarive mortality was postoperative mediastinitis in the first patient, cerebral infarct in the second patient and myocardial infarction in the other two patients. Three patients died because of tumor recurrence 2, 3 and 6 months after the operation. There are 22 patients that we could be able to follow up. We have not detected any recurrence of metastasis of the tumor in the surviving group although our longest follow up period was 44 months.

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