[Substitution of esophagus with stomach or colon without thoracotomy in the treatment of cervical esophageal carcinoma with laryngeal function preserved].
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.
Du
Xiao-Dong
XD
Fourth Hospital Suzhou University, Wuxi 214062, China. entdxd@sina.com
Luan
Xin-Yong
XY
Lei
Da-Peng
DP
Pan
Xin-Liang
XL
Xie
Guang
G
Liu
Da-Yu
DY
Xu
Feng-Lei
FL
Zhang
Li-Qiang
LQ
Shu
Chang
C
You
Qing-Jun
QJ
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