New approaches to surgical treatment of patients with locally advanced cancer of the laryngopharynx and cervical esophagus

As many as 20 patients with the locally widespread cancer of the laringopharynx and esophagus cervical part with T4N0—2M0 were operated. The total laringopharyngoesophagectomy with the one-moment esophagopharyngoplasty by the isoperistaltic petiole out of the greater curvature of the stomach and the imposition of the pharyngogastroanastomosis on the neck was performed to all the patients. Inefficiency of the pharyngogastroanastomosis was found in 11 patients. In the postoperative period four patients died of mediastinitus, peritonitis, pneumonia and pulmonary and cardiac insufficiency. The remote results were estimated by the Kaplan—Maier method. The three-year and five-year survical rates were 33% and 11%, respectively.