J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1577KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 87(9): 1040-1043, 1986

Report on the annual meeting

SURGERY OF HYPOPHARYNGOCERVICAL ESOPHAGEAL CANCER

*) Tokyo Medical and Dental University, School of Medicine, 1st Department of Surgery, Tokyo, Japan
**) Tokyo Women’s Medical College, Department of Gastroenterological Surgery, Tokyo, Japan
***) Tokyo Women’s Medical College, Department of Plastic Surgery, Tokyo, Japan

Mitsuo Endo*), Kunihide Yoshino*), Tatsuyuki Kawano*), Toru Takiguchi*), Hiroko Ide**), Motohiro Nozaki***)

Surgical treatment of cancer of the hypopharyngocervical esophagus involves resection, lymph node dissection and esophageal reconstruction. Lymph node dissection is as extensive as possible, with removal of the regional lymph nodes, deep cervical lymph nodes, supraclavicular lymph nodes and upper mediastinal lymph nodes. The method of reconstruction selected depends on the location occupied by the lesion, as follows : (a) In cases in which the tumor is limited to the hypopharynx and cervical esophagus, with no recognizable multiple lesions, reconstruction by free bowel autotransplantation is employed, (b) When the cervical esophageal cancer shows invasive features or when multiple lesions are suspected in the thoracic esophagus, pharyngo-laryngo-esophagectomy by blunt dissection without thoracotomy is performed and pharyngogastrostomy is performed via the posterior mediastinum, (c) In cases in which the tumor is located at the cervicothoracic border or in which the mediastinal metastasis is suspected by CT examination, pharyngo-laryngo-esophagectomy and lymph nodes dissection are performed with thoracotomy.

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