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Ann Thorac Surg 1990;49:597-602
© 1990 The Society of Thoracic Surgeons

Articles

Surgery for high cervical esophageal carcinoma: Experience with 11 patients

Kamal A. Mansour, MD*, Anthony L. Picone, MD, John J. Coleman, III, MD

Sections of Cardiothoracic and Surgical Oncology, Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, Georgia USA

* Address reprint requests to Dr Mansour, The Emory Clinic, 1365 Clifton Rd, NE, Atlanta, GA 30322.

The treatment of carcinoma of the cervical esophagus remains controversial. Eleven patients with carcinoma of the high cervical esophagus were encountered over the past 7 years at our institution. There were 6 men and 5 women whose ages ranged from 51 to 72 years. Six patients had tracheal or laryngeal invasion. In all instances one-stage pharyngolaryngoesophagectomy with pharyngogastric (6 patients) or pharyngocolic (5 patients) reconstruction was performed. There was one hospital death. Six patients died 6 to 35 months postoperatively: 1 from recurrence, 2 from generalized metastases, and 3 with both local recurrent and metastatic disease. One other patient died free of disease 6 weeks postoperatively of pneumonia. The remaining 3 patients are alive 12 to 84 months after operation with excellent rehabilitation and good quality of life. We conclude that one-stage surgical resection and reconstruction for high cervical carcinoma of the esophagus offers good palliation and possible long-term survival with acceptable operative risk.




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