The Use of Gastric Tube for Reconstruction of Patients with Hypopharyngeal Carcinoma: Two Cases Report and Literature Review

Translated Titles





陸希平(Shi-Ping Luh);廖倩如(Janie Liao);蔡日新(Nis-Shin Sai);劉耿僚(Ken-Liao Liu);蔡宗博(Tsong-Po Tsai);周明智(Ming-Chih Chou);蘇劍秋(Jian-Chou Su)

Key Words

下咽癌 ; 長胃管重建 ; Hypopharyngeal cancer ; Gastric tube reconstruction



Volume or Term/Year and Month of Publication

14卷4期(2003 / 12 / 01)

Page #

567 - 571

Content Language


Chinese Abstract


English Abstract

Optimal therapy for hypopharyngeal carcinoma depends on the stage of disease that therapy is begun. Radiotherapy and surgery get similar results for early-stage disease. For advanced-stage disease, however, radical surgery followed by radiotherapy is the treatment of choice. Extensive malignant tumors of the hypopharynx continue to challenge surgeons with respect to both type and extent of resection as well as type of reconstruction. Herein, we reported on two patients with advanced stage hypopharyngeal carcinoma who underwent extensive resection and gastric tube reconstruction. The extent of resection included the hypopharynx, larynx, cervical esophagus, and bilateral modified radical neck dissection. The gastric tube was used for alimentary tract reconstruction, and permanent tracheostomy was used for airway reconstruction. The postoperative course in both was uneventful, both regaining satisfactory ability to swallow.. One of our patients, unfortunately, died of neck recurrence ten months after operation. We conclude that reconstructing the hypopharynx with gastric tube is a reliable and safe method, though its clinical outcome depends mainly on the stage of the tumor at the time of reconstruction.

Topic Category 醫藥衛生 > 醫藥衛生綜合