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Ann Thorac Surg 2001;72:2146-2147
© 2001 The Society of Thoracic Surgeons

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Larynx-preserving pharyngo-esophagectomy after chemoradiation in the treatment of cancer of the pharyngo-esophageal junction

Örs Péter Horváth, ScDa, László Cseke, MDa, Katalin Kalmár, MDa, Gábor Varga, MDa, Gábor Horváth, MD*b

a Department of Surgery, University of Pécs, Pécs, Hungary
b Department of Radiology, University of Pécs, Pécs, Hungary

Accepted for publication July 30, 2001.

* Address reprint requests to Dr Gabor Horváth, Department of Surgery, University of Pécs, H-7624 Pécs Ifjúság u. 13, Hungary
e-mail: ophorvath{at}iseb.pote.hu

Pharyngo-laryngo-esophagectomy in the treatment of advanced tumors of the pharyngo-esophageal junction is associated with a high morbidity and poor quality of life due to loss of the larynx. Neoadjuvant chemoradiotherapy resulted in a considerable tumor reduction in 6 patients allowing radical tumor resection by larynx-preserving pharyngo-esophagectomy. The operation consisted of total esophagectomy and resection of the posterior pharyngeal wall and reconstruction by a pharyngo-gastrostomy in 5 patients, and ileocolon interposition in 1 patient.






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