Abstract
In most cases of cervical esophageal cancers, total cervical esophagectomy with total laryngectomy were done, we had a study of swallowing function in rare case of total esophagectomy by left thoractomy with reserving larynx, reconstructing with free transplantated jejunum between lower larynx and gastric tube. The patient was 50 y. o. male, with advanced ulcerating cancer in cervical portion and superficial cancer in middle and lower thoracic portion of the esophagus (multiple cancers), the staging was A 0 N 1 P10 M0, stage II. In upper G1 series, radioisotope test with Tecnecium, the patient could swallow without aspiration, In manometry, the 1st perisfaltic wave was appearing thougth its amplitude was not as high as normal, and UES was existing. Then swallowing function was mostly reserved in this case. In conclusions, if the patint is young (under 80 y o.), and the cancer's depth of invasion are not seen on adventitia, we should reserve the larynx utilizing free transplanted jejunum.
