Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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A Case of Esophageal Reconstruction with Gastric Transposition in a Recurrent Laryngeal Carcinoma

후두재발암에 있어서 식도위문합술을 이용한 식도재건술의 치험 1례

  • Hong Won-Pyo (Department of Otolaryngology, Yonsei University College of Medicine) ;
  • Kim Hyoung-Ok (Department of Otolaryngology, Yonsei University College of Medicine) ;
  • Kim Kyung-Soo (Department of Otolaryngology, Yonsei University College of Medicine) ;
  • Kim Chung-Bae (Department of General Surgery, Yonsei University College of Medicine) ;
  • Tack Kwan-Chul (Department of Plastic Surgery, Yonsei University College of Medicine)
  • 홍원표 (연세대학교 의과대학 이비인후과학교실) ;
  • 김형옥 (연세대학교 의과대학 이비인후과학교실) ;
  • 김경수 (연세대학교 의과대학 이비인후과학교실) ;
  • 김충배 (연세대학교 의과대학 일반외과학교실) ;
  • 탁관철 (연세대학교 의과대학 성형외과학교실)
  • Published : 1988.09.01
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Abstract

A transhiatal esophagectomy without thoracotomy and esophageal reconstruction with gastric transponsition was performed in a recurrent laryngeal carcinoma spread to cervical esophagus. There were several benefits to performing this method: 1) It could be performed in one stage, took shorter operating time, and provided safe and efficient palliation in the patient with esophageal carcinoma. 2) The possible maximum surgical margin was obtained and the incidence of suture line tumor recurrence was minimized. 3) Postoperative death from anastomotic disruption and secondary mediastinitis and sepsis were virtually eliminated. 4) Clinically significant gastroesophageal reflux rarely occured.

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