Complications following gastric transposition after total laryngo-pharyngectomy.
OBJECTIVE
To investigate restoration of the pharynx after total laryngo-pharyngectomy (TLP), one of the major problems in head and neck surgery.


METHODS
A retrospective analysis of 60 patients undergoing total laryngo-pharyngectomy with gastric transposition was performed between June 1991 and June 1996. The analysis focused on morbidity, mortality and long-term function following gastric transposition.


RESULTS
The post-operative mortality was 8.3% and the peri-operative morbidity 31.2%. The average hospital stay was 15 days. Immediate restoration of swallowing was achieved in 83% of patients.


CONCLUSIONS
Gastric transposition after total laryngo-pharyngectomy is a safe procedure and can be performed with low mortality, acceptable morbidity and good long-term function.
Dudhat
S B
SB
Tata Memorial Hospital, Parel, Mumbai, India.
Mistry
R C
RC
Fakih
A R
AR
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007825:Laryngectomy / Q000379:methods* / Q000401:mortality; D008297:Male; D008875:Middle Aged; D010611:Pharyngectomy / Q000379:methods* / Q000401:mortality; D011183:Postoperative Complications / Q000209:etiology* / Q000401:mortality; D012189:Retrospective Studies; D013270:Stomach / Q000601:surgery*; D016019:Survival Analysis