Surgical management of hypopharyngeal cancer. Particular reference to the gastric "pull-up" operation.
Between the years 1965 to 1977, 58 patients with advanced hypopharyngeal squamous carcinoma were treated by pharyngolaryngoesophagectomy and total thyroidectomy. Operative mortality for potentially curable cases was 8.6%, with a crude three-year survival rate of 29% for all cases. Mortality was 37% for patients with postcricoid tumors. Long-term management was uncomplicated except for calcium metabolism; two patients died from nephrocalcinosis secondary to return of circulating parathyroid hormone. I discuss the role of this operation in the successful treatment of hypopharyngeal cancer.
D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000601:surgery; D003106:Colon / Q000637:transplantation; D004947:Esophagus / Q000601:surgery; D005260:Female; D006801:Humans; D006996:Hypocalcemia / Q000209:etiology; D007011:Hypoparathyroidism / Q000209:etiology; D007013:Hypopharynx / Q000601:surgery*; D007825:Laryngectomy; D008207:Lymphatic Metastasis; D008297:Male; D008722:Methods; D008875:Middle Aged; D010610:Pharyngeal Neoplasms / Q000401:mortality / Q000601:surgery*; D010611:Pharyngectomy; D010614:Pharynx / Q000601:surgery; D011182:Postoperative Care; D011183:Postoperative Complications; D013270:Stomach / Q000601:surgery; D013965:Thyroidectomy; D014182:Transplantation, Autologous