A Case of Esophageal Reconstruction with Gastric Transposition in a Recurrent Laryngeal Carcinoma |
Won Pyo Hong;Hyoung Ok Kim;Kyung Soo Kim;Chung Bae Kim;Kwan Chui Tack |
후두재발암에 있어서 식도위문합술을 이용한 식도재건술의 치험 1례 |
홍원표;김형옥;김경수;김충배;탁관철 |
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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. |