Surgical management of cervical oesophageal cancer
İ. Topaloğlu , S. R. Karahan , B. Kaman , İ. T. Geldigitti and Z. Salturk 4
Yeditepe University Faculty of Medicine, Department of Ear Nose and Throat and Head and Neck Surgery. Istanbul/ Turkey General Surgery, General Surgery Clinic, İstanbul Okmeydanı Training and Research Hospital, İstanbul/Turkey, Ear Nose and Throat Department, Cerkezkoy Government Hospital, Tekirdag/Turkey Ear Nose and Throat Clinic, İstanbul Okmeydanı Training and Research Hospital, İstanbul/Turkey
Oesophageal cancer; gastric transposition; oesophagectomy; gastric pull-up
187 - 192
Objective: Cervical oesophageal cancer is a difficult problem to manage. The aim of this study was to report our experiences with the surgical treatment of cervical oesophageal cancer and the oncological results obtained in our patients. Methods: Nineteen patients with cervical oesophageal cancer underwent surgical treatment between January 2001 and February 2011. Eighteen patients underwent pharyngolaryngoesophagectomy and one patient underwent pharyngoesophagectomy. Reconstruction of the digestive tract with gastric transpositions was performed in 18 patients and right colon transposition was performed in one patient. Results: No operative mortality was noted. Significant complications occurred in nine patients. The distant metastasis rate was 47%. Overall three- and five-year survival rates were 30% and 28%, respectively and the three- and five-year disease-specific survival rates were 41% and 39%, respectively. Conclusion: Pharyngolaryngoesophagectomy with gastric transposition can be performed for the treatment of cervical oesophageal cancer. However, despite radical resection and adjuvant therapy, survival rates are low .
Vol. 12, 2016, 3rd trimester

Surgical management of cervical oesophageal cancer