title: Cervical partial oesophagectomy and trans-oral direct end-to-end anastomosis.
abstract: Many surgical procedures are used to restore the defect of the alimentary tract after cervical oesophagectomy. We present a case of a 69-year old woman, affected by a G2 squamous cell carcinoma of retro-cricodeal hypopharynx extend to the cervical oesopaghus. She underwent a direct reconstruction with a direct trans-oral anastomosis by a mechanical device and without any interposition. No postoperative complication was observed and there was a good functional result at 24 months after surgery. In a few selected cases, this technique can be usefully performed, avoiding gastric or intestinal resection and improving the quality of life.
authors.affiliation: Department of Thoracic Surgery, Fondazione Istituto Nazionale dei Tumori, Milan, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Tavecchio
authors.affiliation: Department of Thoracic Surgery, Fondazione Istituto Nazionale dei Tumori, Milan, Italy andrea_bille@hotmail.it.
authors.forename: Andrea
authors.initials: A
authors.lastname: Billè
authors.affiliation: Department of Thoracic Surgery, Fondazione Istituto Nazionale dei Tumori, Milan, Italy.
authors.forename: Ugo
authors.initials: U
authors.lastname: Pastorino
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods*; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy / Q000379:methods*; D004947:Esophagus / Q000601:surgery*; D005260:Female; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery; D007825:Laryngectomy; D010611:Pharyngectomy; D013536:Suture Techniques; D014059:Tongue / Q000601:surgery*
keywords: Cervical oesophagus; Oesophageal cancer; Oesophageal surgery