Supercharged reversed gastric tube technique: A microvascular anastomosis procedure for pharyngo-oesophageal reconstruction after total laryngopharyngo-oesophagectomy
Journal
European Journal of Cardio-thoracic Surgery
Journal Volume
44
Journal Issue
2
Pages
258-262
Date Issued
2013
Abstract
Objectives: This study aimed to assess the supercharged reversed gastric tube (RGT) technique as a method for pharyngo-oesophageal reconstruction after total laryngopharyngo-oesophagectomy (TLPE). Methods: From May 2011 to April 2012, we performed five high anastomoses for pharyngo-oesophageal reconstructions using a supercharged RGT after TLPE in patients aged from 43 to 75 years. Synchronous hypopharyngeal and oesophageal malignancies were present in 3 patients, and they had previously received systemic chemotherapy and external irradiation at curative doses. Hypopharyngeal and oesophageal injuries due to extensive caustic trauma were present in the other 2 patients. Indications for this technique, length of the hospital stay, morbidity and mortality and functional results during the follow-up were evaluated in this retrospective review. Results: All patients had a brief operation procedure with only a single-bowel of anastomosis, no perioperative complications and an early return to a good quality of life; no mortalities were observed. After a median of 7-month follow-up, all patients were able to tolerate a regular diet and did not exhibit symptoms of reflux or dumping. Conduit strictures or redundancy has not been found to date. However, 1 patient died of distant metastatic disease. Conclusions: The supercharged RGT technique is a safe and advantageous method for reconstructing the pharyngo-oesophageal segment in an extended surgical field and contributes to improvement in the patient's quality of life. ? The Author 2013. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
SDGs
Other Subjects
adult; aged; article; cancer mortality; esophagus anastomosis; esophagus cancer; esophagus injury; esophagus reconstruction; female; follow up; hospitalization; human; major clinical study; male; metastasis; morbidity; mortality; peroperative complication; pharynx reconstruction; priority journal; quality of life; retrospective study; stomach tube; supercharged reversed gastric tube technique; surgical technique; Laryngopharyngo-oesophagectomy; Supercharged reversed gastric tube; Adult; Aged; Anastomosis, Surgical; Esophagectomy; Esophagus; Female; Humans; Laryngectomy; Larynx; Male; Middle Aged; Pharyngectomy; Pharynx; Reconstructive Surgical Procedures; Retrospective Studies
Type
journal article