Publication:

Total pharyngolaryngectomy with laparoscopic transhiatal oesophagectomy with gastric pull-up: a study of 13 cases

Background Post cricoid cancers are known to be treated with total pharyngo-laryngo-oesophagectomy (TPLO) with several reconstructive procedures described. This study aims at clinical symptoms in patients having hypopharyngeal cancer who underwent total pharyngo-laryngectomy with laparoscopic transhiatal oesophagectomy (TPLO) with gastric pull-up (GPU).

Methods The clinical data of 13 patients undergoing TPLO with GPU during July 2013 to September 2017 were evaluated. All the patients had biopsy proven carcinoma. TPL was done and laparoscopic Transhiatal oesophagectomy was done and also the stomach was mobilized laparoscopically. The neostomach was delivered through posterior mediastinum and pharyngogastric anastomosis was done.

Results Only one patient (7%) had anastomotic stricture which required endoscopic dilatation, rest all the patients had no complications. So far they remain free of tumor recurrence or any other symptoms.

Conclusions Laparoscopic GPU in a patient of TPLO should be the procedure of choice for maintaining the continuity of alimentary tract.