title: Hypopharyngeal cancers requiring reconstruction: a single institute experience.
abstract: The main objective of this retrospective analysis was to understand the length of stay in hospital, the complication rates and the perioperative mortality after various forms of hypopharyngeal reconstructions. This is a retrospective analysis of hypopharyngeal cancer patients who underwent surgery at the Tata Memorial Hospital, during 2005-2010. Of the total 393 patients, 103 required some form of pharyngeal reconstruction. The mean age of this population was 56 with a male to female ratio of 4:1. The mean hospital stay for all patients was 22 days (mean: 22, median: 15) and 17 % were readmitted for various reasons in the first 30 days after the initial discharge from hospital. The overall perioperative mortality was 10 % (10/103) and majority of these patients (6/10) had GPU as part of treatment. Gastric pull up has a high morbidity especially in patients with low albumin levels and should be used judiciously when needed. A comprehensive analysis of clinical and radiological data is helpful for choosing an ideal reconstruction after hypopharyngeal cancer excision.
authors.affiliation: Department of Head and Neck Surgery, Tata Memorial Hospital, Mumbai, India.
authors.forename: Poonam
authors.initials: P
authors.lastname: Joshi
authors.affiliation: Department of Head and Neck Surgery, Tata Memorial Hospital, Mumbai, India.
authors.forename: Sudhir
authors.initials: S
authors.lastname: Nair
authors.affiliation: Department of Head and Neck Surgery, Tata Memorial Hospital, Mumbai, India.
authors.forename: Pankaj
authors.initials: P
authors.lastname: Chaturvedi
authors.affiliation: Department of Head and Neck Surgery, Tata Memorial Hospital, Mumbai, India.
authors.forename: Devendra
authors.initials: D
authors.lastname: Chaukar
authors.affiliation: Department of Head and Neck Surgery, Tata Memorial Hospital, Mumbai, India.
authors.forename: Prathamesh
authors.initials: P
authors.lastname: Pai
authors.affiliation: Department of Radiation Oncology, Tata Memorial Hospital, Mumbai, India.
authors.forename: Jai Prakash
authors.initials: JP
authors.lastname: Agarwal
authors.affiliation: Department of Head and Neck Surgery, Tata Memorial Hospital, Mumbai, India.
authors.forename: Anil K
authors.initials: AK
authors.lastname: D'Cruz
keywords: Cancers; Gastric pullup; Hypopharynx; Mortality; Reconstruction