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"correspondencia" => "Correspondencia: José Luis Llorente Pendás C/ JM Caso, 14 33006 Oviedo (Asturias)" ] ] ] 1 => array:3 [ "autoresLista" => "J.J. González, F. Navarrete Guijosa, N. Rodríguez Prado" "autores" => array:3 [ 0 => array:3 [ "nombre" => "J.J." "apellidos" => "González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "F." "apellidos" => "Navarrete Guijosa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "N." "apellidos" => "Rodríguez Prado" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cirugía General. Hospital Central de Asturias. Oviedo." "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Gastric pull-up reconstruction in hypopharyngeal and cervical oesophageal cancer" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-09-05" "fechaAceptado" => "2006-04-05" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec81606" "palabras" => array:5 [ 0 => "Cáncer de hipofaringe" 1 => "Cáncer esófago cervical" 2 => "Faringolaringoesofagectomía" 3 => "Plastia gástrica" 4 => "Interposición gástrica" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec81607" "palabras" => array:4 [ 0 => "Hypopharynx cancer" 1 => "Cervical esophageal cancer" 2 => "Gastric pull up" 3 => "Pharyngolayngo-esophagectomy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar los resultados de la reconstruccióncon una interposición gástrica tras la realización de una faringolaringoesofagectomía.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se revisaron las historias clínicas de 12 pacientes consecutivos que fueron tratados de una faringolaringoesofagectomía entre 1995 y 2000. Todos los pacientes tenían un estadio avanzado y se les realizó una reconstrucción con una interposición gástrica. Se valoraron en el postoperatorio la capacidad de deglución,las complicaciones y la supervivencia.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se estudiaron 5 casos primarios de hipofaringe y 7 de esófago cervical. En 3 casos fue preciso asociar a la reconstrucción un colgajo locorregional. Se realizaron un total de 16 vaciamientos a 8 pacientes. Sólo en 2 pacientes los ganglios linfáticos no estaban afectos. La mortalidad perioperatoria ocurrió en 4 pacientes de 12. En el momento del alta el 7 de los 8 pacientes presentaban una buena deglución. Las complicaciones más frecuentes fueron las pulmonares en un 58%. La supervivencia a los 5 años fue del 31%.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La reconstrucción con una plastia gástrica está indicada en aquellos casos que sea preciso reconstruir la hipofaringe y el esófago en un mismo tiempo quirúrgico. Dado su elevada morbimortalidad se recomienda una cuidadosa selección de los pacientes.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To determine the results of gastric pullup reconstruction following pharyngo-laryngo-esophagectomy.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The clinical data of 12 patients who were treated with pharyngolaryngo/esophagectomy were analysed, from 1995 to 2000. All patients had advanced disease, and required a gastric pull-up reconstruction. Clinical swallowing function and morbidity were evaluated postoperatively and the survival group was studied using a Kaplan- Meier survival curve.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Five cases of hypopharyngeal cancer and seven cases of cervical esophageal cancer were studied. In three cases a regional flap was used. A total of 16 cervical dissections were carried out. Only in 2 patients the nodes were free of metastasis. There were four hospital deaths. At discharge, 7 patients out of the 8 had a good swallowing. The most common complications were pulmonary (58%). The five years survival was 31%.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Gastric pull up transposition must be used for reconstruction following pharyngolaryngoesophagectomy. Proper selection of patients may reduce considerably the morbidity and mortality of this surgical procedure.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:12 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pharyngogastric anastomosis after esophagopharyngectomy for carcinoma of the hypopharynx and cervical esophagus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "G.B. Ong" 1 => "T.C. 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Reconstrucción con interposición gástrica en el cáncer de hipofaringe y esófago cervical
Gastric pull-up reconstruction in hypopharyngeal and cervical oesophageal cancer
J.L. Llorente Pendás
, A. López Llames*, C. Suárez Nieto*
,1
Autor para correspondencia
llorentependas@telefonica.net
Correspondencia: José Luis Llorente Pendás C/ JM Caso, 14 33006 Oviedo (Asturias)
Correspondencia: José Luis Llorente Pendás C/ JM Caso, 14 33006 Oviedo (Asturias)
Servicio de ORL.
Servicio de Cirugía General. Hospital Central de Asturias. Oviedo.
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Reconstrucción con interposición gástrica en el cáncer de hipofaringe y esófago cervical
J.L. Llorente Pendás, A. López Llames, C. Suárez Nieto
10.1016/S0001-6519(06)78700-3Acta Otorrinolaringol Esp. 2006;57:242-6