Studies on Pharyngolaryngoesophagectomy Followed by Reconstruction with Free Jejunal Autograft for Hypopharyngeal and Cervical Esophageal Carcinoma

Kenji Omura, Hiroshi Urayama, Yoshinori Munemoto, Fumio Ishida, Katsuyasu Hirano, Kazuyuki Kawakami, Kenji Doden, Yoh Watanabe

Department of Surgery (1), Kanazawa University School of Medicine

Nineteen patients with hypopharyngeal and cervical esophageal carcinoma underwent pharyngolaryngoeso-phagecotmy with free jejunal autograft reconstruction. Postoperative complications included anastomotic leakage in 1 patient (5.3%), wound infection in 3 patients (15.8%) and intussusception in 3 patients (15.8%). Postoperatively, all patients were able to maintain adequate nutrition by oral intake. Eight of 19 patients died of the carcinoma, local recurrence in 4 patients, pulmonary metastases in 2 patients and brain metastases in 2 patients. Five-year survival rate was 27.2%. No patient, in whom the intrathoracic and intraabdominal lymph node dissection was not done, experienced a recurrence. Pharyngolaryngoesophagectomy is acceptable treatment for carcinoma localized in the hypopharynx and/or cervical esophagus without detectable intrathoracic or intraabdominal lymph node invol-vement. Free jejunal autograft is an excellent technique for reconstruction in such patients.

Key words
reconstruction of cervical esophagus, free jejunal autograft, carcinoma of hypopharynx and cervical esophagus

Reprint requests
Kenji Omura Department of Surgery (1), Kanazawa University School of Medicine
13-1 Takaramachi, Kanazawa, 920 JAPAN

Accepted
January 8, 1992

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