A NEW TECHNICAL APPROACH TO CANCERS OF THE CERVICAL ESOPHAGUS

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NIKBAKHSH NOVIN; SAIDI FARROKH; FAHIMI HOSSEIN

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Journal: ARCHIVES OF IRANIAN MEDICINE Year:2012 | Volume:15 | Issue:5 Page(s): 298-302

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Title

A NEW TECHNICAL APPROACH TO CANCERS OF THE CERVICAL ESOPHAGUS

Author(s)

NIKBAKHSH NOVIN | SAIDI FARROKH | FAHIMI HOSSEIN | Issue Writer Certificate

Keywords

CERVICAL ESOPHAGUS

ESOPHAGEAL CANCER

SQUAMOUS CELL CARCINOMA

Abstract

Background: The aim of this study was to assess the possibility of a primary end-to-end pharyngoesophageal anastomosis after standard tumor resection of the CERVICAL ESOPHAGUS by acute flexion of the neck.Methods: A total of 34 consecutive patients with primary cervical ESOPHAGEAL CANCER, none having received prior radio- or chemotherapy, were treated by two methods based on intraoperative findings. In 18 patients, reconstruction after esophageal resection was carried out by the standard gastric pull-through technique (control group). In 16 patients, acute flexion of the neck after tumor resection allowed for reconstruction by primary end-to-end pharyngoesophagostomy (experimental group).Results: There was no operative mortality in either group. The mean operative time for the experimental group was about 50 minutes less compared to the control group. Self-limited postoperative anastomotic leakage in the neck was twice as common in the experimental group.Postoperative dysphagia was about three times as common in the experimental group [5 patients (31%)] compared to the control group [2 patients (11%)].Conclusion: In selected cases, segmental resection of primary cervical ESOPHAGEAL CANCERs reconstructed by end-to-end pharyngoesophagostomy is technically feasible by bending the neck acutely forward during anastomosis and maintaining it in the flexed position during a postoperative period of about 7 days. The advantages are reduced scope and duration of the operation. The downside is doubling of the frequency of postoperative cervical leakage.

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APA: Copy

NIKBAKHSH, NOVIN, SAIDI, FARROKH, & FAHIMI, HOSSEIN. (2012). A NEW TECHNICAL APPROACH TO CANCERS OF THE CERVICAL ESOPHAGUS. ARCHIVES OF IRANIAN MEDICINE, 15(5), 298-302. SID. https://sid.ir/paper/280815/en

Vancouver: Copy

NIKBAKHSH NOVIN, SAIDI FARROKH, FAHIMI HOSSEIN. A NEW TECHNICAL APPROACH TO CANCERS OF THE CERVICAL ESOPHAGUS. ARCHIVES OF IRANIAN MEDICINE[Internet]. 2012;15(5):298-302. Available from: https://sid.ir/paper/280815/en

IEEE: Copy

NOVIN NIKBAKHSH, FARROKH SAIDI, and HOSSEIN FAHIMI, “A NEW TECHNICAL APPROACH TO CANCERS OF THE CERVICAL ESOPHAGUS,” ARCHIVES OF IRANIAN MEDICINE, vol. 15, no. 5, pp. 298–302, 2012, [Online]. Available: https://sid.ir/paper/280815/en

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