title: [Substitution of esophagus with stomach or colon without thoracotomy in the treatment of cervical esophageal carcinoma with laryngeal function preserved].
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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).
  
  
  RESULTS
  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%.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Fourth Hospital Suzhou University, Wuxi 214062, China. entdxd@sina.com
authors.forename: Xiao-Dong
authors.initials: XD
authors.lastname: Du
authors.forename: Xin-Yong
authors.initials: XY
authors.lastname: Luan
authors.forename: Da-Peng
authors.initials: DP
authors.lastname: Lei
authors.forename: Xin-Liang
authors.initials: XL
authors.lastname: Pan
authors.forename: Guang
authors.initials: G
authors.lastname: Xie
authors.forename: Da-Yu
authors.initials: DY
authors.lastname: Liu
authors.forename: Feng-Lei
authors.initials: FL
authors.lastname: Xu
authors.forename: Li-Qiang
authors.initials: LQ
authors.lastname: Zhang
authors.forename: Chang
authors.initials: C
authors.lastname: Shu
authors.forename: Qing-Jun
authors.initials: QJ
authors.lastname: You
mesh_terms: D000328:Adult; D000368:Aged; D004938:Esophageal Neoplasms / Q000401:mortality / Q000503:physiopathology / Q000601:surgery*; D004944:Esophagoplasty / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007830:Larynx / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D015996:Survival Rate; D013908:Thoracotomy