HUSCAP logo Hokkaido Univ. logo

Hokkaido University Collection of Scholarly and Academic Papers >
医学研究院・医学院  >
雑誌発表論文等  >

Early and long-term morbidity after minimally invasive total laryngo-pharyngo-esophagectomy with gastric pull-up reconstruction via thoracoscopy, laparoscopy and cervical incision

フルテキスト
manuscript.pdf390.27 kBPDF見る/開く
この文献へのリンクには次のURLを使用してください:http://hdl.handle.net/2115/63391

タイトル: Early and long-term morbidity after minimally invasive total laryngo-pharyngo-esophagectomy with gastric pull-up reconstruction via thoracoscopy, laparoscopy and cervical incision
著者: Homma, Akihiro 著作を一覧する
Nakamaru, Yuji 著作を一覧する
Hatakeyama, Hiromitsu 著作を一覧する
Mizumachi, Takatsugu 著作を一覧する
Kano, Satoshi 著作を一覧する
Furusawa, Jun 著作を一覧する
Sakashita, Tomohiro 著作を一覧する
Shichinohe, Toshiaki 著作を一覧する
Ebihara, Yuma 著作を一覧する
Hirano, Satoshi 著作を一覧する
Furukawa, Hiroshi 著作を一覧する
Hayashi, Toshihiko 著作を一覧する
Yamamoto, Yuhei 著作を一覧する
Fukuda, Satoshi 著作を一覧する
キーワード: Cervical esophageal cancer
Hypopharyngeal cancer
Postoperative complication
Minimally invasive esophagectomy
発行日: 2015年11月
出版者: Springer
誌名: European archives of oto-rhino-laryngology
巻: 272
号: 11
開始ページ: 3551
終了ページ: 3556
出版社 DOI: 10.1007/s00405-014-3420-9
抄録: Total laryngo-pharyngo-esophagectomy (TLPE) with gastric pull-up reconstruction is still considered to be associated with major complications and a significant risk of in-hospital death. Minimally invasive esophagectomy, avoiding thoracotomy and laparotomy, has been increasingly performed for esophageal malignancies with the hope of reducing mortality and morbidity, such as pulmonary complications. The aim in this study was to assess early and long-term morbidity as well as treatment outcomes in patients treated with TLPE with gastric pull-up reconstruction via thoracoscopy, laparoscopy and cervical incision. From 2004 to 2013, 10 patients with a median age of 64 years (range 47-71 years) underwent minimally invasive TPLE with gastric pull-up reconstruction. Seven of the 10 patients had previously received radiotherapy. As for early postoperative complications, no patient died during the early postoperative period, and pneumonia was observed in 1, skin necrosis in 1, pseudomembranous enterocolitis in 1, arrhythmia in 2, hemorrhage in the neck in 2, anastomotic leakage in the neck in 3, and tracheal necrosis in 6 patients. Three patients developed tracheostomal stenosis as a long-term postoperative complication, and an anastomotic stricture was observed in one patient. All patients were able to achieve oral intake, but 3 patients required feeding tube support. In conclusion, postoperative systemic complications during the early postoperative period were considered to be acceptable, although wound complications such as tracheal necrosis and anastomotic leakage were commonly observed. Therefore, this minimally invasive procedure might help reduce mortality and morbidity in patients requiring TLPE with gastric pull-up reconstruction.
Rights: The final publication is available at www.springerlink.com
資料タイプ: article (author version)
URI: http://hdl.handle.net/2115/63391
出現コレクション:雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

提供者: 本間 明宏

 

本サイトに関するご意見・お問い合わせは repo at lib.hokudai.ac.jp へお願いします。 - 北海道大学