Reconstruction techniques for hypopharyngeal and cervical esophageal carcinoma.
OBJECTIVE
To investigate the incidence of perioperative complications in patients with hypopharyngeal and cervical esophageal carcinoma who underwent three types of esophageal defect reconstruction procedures.


METHODS
Clinical data from 105 patients with hypopharyngeal and cervical esophageal carcinoma who were treated at SUN YAT-SEN Memorial Hospital from January 2003 to February 2013 were retrospectively analyzed. Among these patients, 45 underwent a pectoral major muscle skin flap reconstruction following carcinoma resection (group A); 32 patients were treated with stomach replacement of the esophagus (group B), and 28 patients were treated with tube stomach replacement of the esophagus (group C). The incidences of perioperative complications were compared among these three groups.


RESULTS
The incidences of anastomotic leakage, neck swelling, and incision infection were significantly lower in group C than in group A (P<0.05). The incidences of anastomotic leakage, reflux esophagitis, and thoracic stomach syndrome were significantly lower in group C than in group B (P<0.05).


CONCLUSIONS
Tube stomach replacement of the esophagus in the setting of hypopharyngeal and cervical esophageal carcinoma reduced the incidence of complications; therefore, it is a reasonable procedure for the management of esophageal defects.
1 Department of Thoracic Surgery, Zengcheng Branch Hospital, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 511300, China ; 2 Department of Thoracic Surgery, 3 Radiology Department, 4 Deaprtment of General Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China.
Ming
M
Jiang
1 Department of Thoracic Surgery, Zengcheng Branch Hospital, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 511300, China ; 2 Department of Thoracic Surgery, 3 Radiology Department, 4 Deaprtment of General Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China.
Xiaotian
X
He
1 Department of Thoracic Surgery, Zengcheng Branch Hospital, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 511300, China ; 2 Department of Thoracic Surgery, 3 Radiology Department, 4 Deaprtment of General Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China.
Duoguang
D
Wu
1 Department of Thoracic Surgery, Zengcheng Branch Hospital, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 511300, China ; 2 Department of Thoracic Surgery, 3 Radiology Department, 4 Deaprtment of General Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China.
Yuanyuan
Y
Han
1 Department of Thoracic Surgery, Zengcheng Branch Hospital, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 511300, China ; 2 Department of Thoracic Surgery, 3 Radiology Department, 4 Deaprtment of General Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China.
Hongwei
H
Zhang
1 Department of Thoracic Surgery, Zengcheng Branch Hospital, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 511300, China ; 2 Department of Thoracic Surgery, 3 Radiology Department, 4 Deaprtment of General Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China.
Minghui
M
Wang
Cervical esophageal carcinoma; perioperative complications; reconstruction