title: Minimally invasive total pharyng-laryngo-esophagectomy and reconstruction with gastric tube: report of three cases.
abstract: Total pharyngo-laryngo-esophagectomy (TPLE) is indicated for either cervical esophageal cancer or synchronous double cancer of the thoracic esophagus and head and neck and this operation is extremely invasive. We adopted minimally invasive surgery for three patients who underwent this operation: VATS (video-assisted thoracoscopic surgery) esophagectomy was undergone in left semi-prone position and laparoscopic approach was also applied to reconstruction with gastric tube. After pharyngo-laryngectomy and gastric tube pull-up through post-mediastinal route, cervical anastomosis was performed. Free jejunal interposition was added in a case, while microvascular venous anastomosis between short gastric vein and cervical vein in another two cases. All patients recovered well without any postoperative complications. This is the first report, which describes minimally invasive TPLE using both VATS and laparoscopic technique in addition with plastic surgery.
authors.forename: Yasue
authors.initials: Y
authors.lastname: Kimura
authors.forename: Masaru
authors.initials: M
authors.lastname: Morita
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Saeki
authors.forename: Tetuo
authors.initials: T
authors.lastname: Ikeda
authors.forename: Koji
authors.initials: K
authors.lastname: Ando
authors.forename: Eiji
authors.initials: E
authors.lastname: Oki
authors.forename: Keishi
authors.initials: K
authors.lastname: Sugimachi
authors.forename: Yo-Ichi
authors.initials: Y
authors.lastname: Yamashita
authors.forename: Hideaki
authors.initials: H
authors.lastname: Uchiyama
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Kawanaka
authors.forename: Mitsuhiko
authors.initials: M
authors.lastname: Ohta
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Sakaguchi
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Kusumoto
authors.forename: Sei
authors.initials: S
authors.lastname: Yoshida
authors.forename: Torahiko
authors.initials: T
authors.lastname: Nakashima
authors.forename: Masayuki
authors.initials: M
authors.lastname: Watanabe
authors.forename: Toshiya
authors.initials: T
authors.lastname: Furuta
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Maehara
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D003131:Combined Modality Therapy; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D004943:Esophagogastric Junction / Q000601:surgery*; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000601:surgery*; D010610:Pharyngeal Neoplasms / Q000601:surgery*; D010611:Pharyngectomy / Q000379:methods*; D016684:Prone Position; D019651:Plastic Surgery Procedures / Q000379:methods*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D016896:Treatment Outcome