title: Modified pharyngogastrostomy by a stapler technique.
abstract: Pharyngolaryngoesophagectomy is the gold standard treatment for the majority of larynx, pharynx and cervical esophagus advanced tumours. Reconstruction of these pharyngoesophageal defects is complex, and implicates additional time, morbity and mortality to the procedure. Gastric pull up and pharyngogastrostomy with hand sewing technique is the commonest way of doing it. The authors describe a modified technique to execute it using a stapler device.
authors.affiliation: Head of the Esophagus Section of the Abdominal Surgery Department of Hospital do Câncer A C Camargo, São Paulo, Brazil.
authors.forename: R A A
authors.initials: RA
authors.lastname: Sallum
authors.forename: F J F
authors.initials: FJ
authors.lastname: Coimbra
authors.forename: P
authors.initials: P
authors.lastname: Herman
authors.forename: A L
authors.initials: AL
authors.lastname: Montagnini
authors.forename: M A C
authors.initials: MA
authors.lastname: Machado
mesh_terms: D000714:Anastomosis, Surgical / Q000295:instrumentation / Q000379:methods*; D003679:Deglutition / Q000502:physiology; D004209:Disposable Equipment; D016629:Esophagectomy; D005471:Fluoroscopy; D005500:Follow-Up Studies; D015391:Gastroplasty; D006801:Humans; D007825:Laryngectomy; D010609:Pharyngeal Muscles / Q000601:surgery; D010611:Pharyngectomy; D010614:Pharynx / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013270:Stomach / Q000601:surgery*; D013528:Surgical Staplers; D017792:Surgical Stapling / Q000379:methods*; D013536:Suture Techniques; D013997:Time Factors; D016896:Treatment Outcome