抄録
The surgical treatment of cancer in the hypopharynx and cervical esophagus consists in 1) cervical esophagectomy or total pharyngoesophagectomy with conservation of the larynx, 2) pharyngolaryngectomy, 3) pharyngolaryngoesophagectomy, 4) subtotal esophagectomy and cervical esophagogastrostomy. They are either associated with radiotherapy or not. Prognostic study of 56 cases who came under the author's surgical care disclosed that 2 cases of cervical esophagectomy all died within 1.5 years, 3 cases of pharyngolaryngectomy also all died in less than 2 years, and survival over 5 years was only found among 51 cases of pharyngolaryngoesophagectomy. The pharyngolaryngoesophagectomy should be emphasized as a worthwhile surgery without thoracotomy for hypopharyngoesophageal carcinoma, even if the larynx is not yet involved. Therefore, this report mainly discusses pharyngolaryngoesophagectomy from the surgical point of view.
