96: EXPERIENCE IN RECONSTRUCTION OF LARYNGOPHARYNGOESOPHAGECTOMIES IN A THIRD LEVEL CENTER

作者：Ana Navío-Seller, David Abelló-Audí, Marcos Bruna-Esteban, Javier Vaqué-Urbaneja, Fernando Mingol-Navarro · 发表于：Diseases of the Esophagus · 年份：2022 · DOI：10.1093/dote/doac015.096 · 研究领域：Reconstructive Surgery and Microvascular Techniques、Head and Neck Cancer Studies、Tracheal and airway disorders

Abstract Background and aim Pharyngoesophageal reconstruction after laryngo-pharyngo-esophagectomy is challenging due to its high morbidity and mortality. There are different reconstructive flaps: visceral flaps (pedicle stomach and colon flaps and free jejunum or colon grafts) and myocutaneous flaps (pedicle local flaps or free grafts). The objective is to evaluate the morbidity and mortality and functional results of the reconstruction after laryngo-pharyngo-esophagectomy. Methods This is a retrospective study of patients who underwent laryngo-pharyngo-esophagectomy in our center, due to a benign cause (caustic ingestion) or malignant (larynx, pharynx, parathyroid and cervical esophagus cancer) with circumferential pharyngeal reconstruction with flap, from 2008 to 2020. Demographic variables, procedure performed and flap used for reconstruction, complications related to reconstruction (fistula, stenosis, necrosis), postoperative complications, days until adequate swallowing, flap’s functional result, hospital stay, recurrence and mortality were collected. Results Twelve patients, with 59 years (45–78) median age, underwent surgery. There were complications related to reconstruction in 42% of the patients (Table 1). Postoperative morbidity was 67%. The median hospital stay was 21 days (16–94). The median time to swallowing was 13 days (3–73). An optimal functional result (oral intake) was achieved in 75%. The median follow-up was 18 months (4–56), with a survival rate of 50%...