دورية أكاديمية
Salvage surgery for recurrent carcinoma of the cervical esophagus postesophagectomy.
| العنوان: | Salvage surgery for recurrent carcinoma of the cervical esophagus postesophagectomy. |
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| المؤلفون: | Chow VL; Division of Head and Neck Surgery, Department of Surgery, University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital, Hong Kong, China., Chan JY; Division of Head and Neck Surgery, Department of Surgery, University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital, Hong Kong, China., Wei WI; Division of Head and Neck Surgery, Department of Surgery, University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital, Hong Kong, China. |
| المصدر: | Head & neck [Head Neck] 2015 Aug; Vol. 37 (8), pp. 1170-5. Date of Electronic Publication: 2014 Jul 11. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: John Wiley And Sons Country of Publication: United States NLM ID: 8902541 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-0347 (Electronic) Linking ISSN: 10433074 NLM ISO Abbreviation: Head Neck Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York, NY : John Wiley And Sons Original Publication: New York, NY : J. Wiley, c1989- |
| مواضيع طبية MeSH: | Esophagectomy* , Salvage Therapy*/methods, Carcinoma/*surgery , Esophageal Neoplasms/*surgery , Neoplasm Recurrence, Local/*surgery, Aged ; Carcinoma/mortality ; Constriction, Pathologic ; Disease-Free Survival ; Esophageal Neoplasms/mortality ; Feasibility Studies ; Humans ; Laryngectomy ; Length of Stay ; Male ; Middle Aged ; Pharyngectomy ; Retrospective Studies ; Risk Factors ; Tracheostomy/adverse effects ; Treatment Outcome |
| مستخلص: | Background: Management of cervical esophageal tumor postesophagectomy is mainly palliative because of inadequate exposure of tumor in the cervicothoracic region. In this study, we propose a means of cure for these patients. Methods: Between January 2003 and June 2013, 6 patients underwent curative pharyngolaryngectomy and completion cervical esophagectomy via manubrial resection. Operative outcomes were analyzed and compared with a historical cohort who received palliative therapy. Results: One patient required prolonged hospital stay for pneumonia, resulting in a median hospital stay of 30 days (range, 21-55 days). All patients resumed oral feeding at a mean of 15.2 days (range, 14-19 days). Tracheostoma stenosis was noted in 2 patients. One patient developed nodal recurrence, another with distant metastasis, resulting in a median disease-free survival of 13 months (range, 4-20 months). Median overall survival was significantly longer than the cohort group (19.0 vs 3.0 months; p = .013). Conclusion: Salvage surgery in patients with carcinoma of the cervical esophagus postesophagectomy is feasible with significantly prolonged survival. (© 2014 Wiley Periodicals, Inc.) |
| فهرسة مساهمة: | Keywords: cervical esophagus; postesophagectomy; recurrence; salvage |
| تواريخ الأحداث: | Date Created: 20140507 Date Completed: 20160520 Latest Revision: 20150716 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1002/hed.23730 |
| PMID: | 24798320 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1097-0347 |
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| DOI: | 10.1002/hed.23730 |