Salvage surgery for recurrent carcinoma of the cervical esophagus postesophagectomy. Issue 8 (11th July 2014)

• Record Type: Journal Article
• Authors: Chow, Velda L. Y.; Chan, Jimmy Y. W.; Wei, William I.
• Is Part Of: Head & neck. Volume 37:Issue 8(2015:Aug.)
• Page Start: 1170
• Page End: 1175
• Publication Date: 2014-07-11
• Subjects: Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.23730
• Languages: English
• ISSNs: 1043-3074

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="hed23730-sec-0001" sec-type="section"> <title>Background</title> <p>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.</p> </sec> <sec id="hed23730-sec-0002" sec-type="section"> <title>Methods</title> <p>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.</p> </sec> <sec id="hed23730-sec-0003" sec-type="section"> <title>Results</title> <p>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; <italic>p</italic> = .013).</p> </sec> <sec id="hed23730-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Salvage surgery in patients with carcinoma of the cervical esophagus postesophagectomy is feasible with significantly prolonged survival. © 2014 Wiley Periodicals, Inc. <italic>Head Neck</italic><bold>37:</bold> 1170–1175, 2015</p> </sec> </abstract>