[Immediate one-stage total oesophagenal replacement by transmediastinal transposition of the stomach without thoracotomy in a case of hypopharyngeal carcinoma (author's transl)].
A case of hypopharyngeal carcinoma (in a 36-year-old man) is reported in which, after blunt dissection of the oesophagus via a posterior mediastinal tunnel without thoracotomy, the stomach was mobilized and its fundus anastomosed to the pharynx at the level of the vallecula. This form of oesophagectomy was first reported in 1936 by Turner for carcinoma of the thoracic oesophagus. Adopting this procedure in cases of carcinoma of the hypopharynx or cervical oesophagus (as recently reported) has as its main advantage the restoration of normal swallowing within a few days, as also took place in the described case.
D000328:Adult; D004938:Esophageal Neoplasms / Q000601:surgery*; D004947:Esophagus / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D009333:Neck; D010610:Pharyngeal Neoplasms / Q000601:surgery*; D013270:Stomach / Q000601:surgery*; D013997:Time Factors
Geschlossener transmediastinaler Durchzug des Magens als einzeitiger totaler Osophagusersatz beim Hypopharynx- und zervikalen Osophagus-Karzinom