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- Title
Larynx preservation in surgical treatment of cervical esophageal cancer – combined procedure of laryngeal suspension and cricopharyngeal myotomy.
- Authors
Shiozaki, H.; Tsujinaka, T.; Inoue, M.; Yano, M.; Doki, Y.; Miyaguchi, M.; Inoue, T.; Hosokawa, K.; Monden, M.
- Abstract
From July 1994 to July 1998, a larynx-preserving procedure was performed on 10 out of 22 (45%) patients in the surgical treatment of hypopharyngeal and cervical esophageal cancer. At first, all 10 patients were treated with concurrent radiochemotherapy with cisplatin (10 mg/m[sup 2]/day), 5-fluorouracil (500 mg/m[sup 2]/day) and radiation (2 Gy/day) five times per week for 4 weeks. After preoperative radiochemotherapy, the larynx-preserving procedure, combining laryngeal suspension and cricopharyngeal myotomy, was performed. The operative and hospital mortality rate was 0%. The incidence of post-operative morbidity with minor complications was 70% in the present study. Laryngeal speech and oral food intake were preserved in all patients after this procedure. The new larynx-preserving procedure combining laryngeal suspension and cricopharyngeal myotomy for cervical esophageal cancer is a favorable operative method for retaining intelligible laryngeal speech and good food intake.
- Subjects
ESOPHAGEAL cancer; ESOPHAGEAL surgery; LARYNGEAL cancer; LARYNGEAL surgery
- Publication
Diseases of the Esophagus, 2000, Vol 13, Issue 3, p213
- ISSN
1120-8694
- Publication type
Article
- DOI
10.1046/j.1442-2050.2000.00114.x