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

Homma, Akihiro; Nakamaru, Yuji; Hatakeyama, Hiromitsu et al.

European archives of oto-rhino-laryngology, 2015, 272(11), 3551-3556

Permalink : https://hdl.handle.net/2115/63391

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アクセス権
open access
URI
https://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 ; Nakamaru, Yuji ; Hatakeyama, Hiromitsu ; Mizumachi, Takatsugu ; Kano, Satoshi ; Furusawa, Jun ; Sakashita, Tomohiro ; Shichinohe, Toshiaki ; Ebihara, Yuma ; Hirano, Satoshi ; Furukawa, Hiroshi ; Hayashi, Toshihiko ; Yamamoto, Yuhei ; Fukuda, Satoshi
e-Rad_Researcher
30312359
著者名
Homma, Akihiro
e-Rad_Researcher
20344509
著者名
Nakamaru, Yuji
e-Rad_Researcher
10455652
著者名
Hatakeyama, Hiromitsu
e-Rad_Researcher
00507577
著者名
Mizumachi, Takatsugu
e-Rad_Researcher
00374421
著者名
Kano, Satoshi
著者名
Furusawa, Jun
e-Rad_Researcher
30455654
著者名
Sakashita, Tomohiro
e-Rad_Researcher
70374353
著者名
Shichinohe, Toshiaki
e-Rad_Researcher
50632981
著者名
Ebihara, Yuma
e-Rad_Researcher
50322813
著者名
Hirano, Satoshi
e-Rad_Researcher
00399924
著者名
Furukawa, Hiroshi
著者名
Hayashi, Toshihiko
e-Rad_Researcher
70271674
著者名
Yamamoto, Yuhei
e-Rad_Researcher
20125347
著者名
Fukuda, Satoshi
言語
英語
キーワード
Cervical esophageal cancer
Hypopharyngeal cancer
Postoperative complication
Minimally invasive esophagectomy
発行日
2015-11
出版者
Springer
収録物名
European archives of oto-rhino-laryngology
巻(号)
272(11)
ページ
3551-3556
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.
資源タイプ
学術雑誌論文
出版タイプ
Accepted Manuscript
権利情報
The final publication is available at www.springerlink.com
PISSN
0937-4477
NCID
AA10746537
関連情報
PMID
25476198
関連情報 (isVersionOf)
出版社版DOI
https://doi.org/10.1007/s00405-014-3420-9