Operative Approach for Cervical Esophageal Cancer

Shinomiya Hirotaka, Kawaguchi Ryoko, Teshima Masanori, Tatehara Shun, Iritani Keisuke, Furukawa Tatsuya, Otsuki Naoki, Nibu Ken-ichi

doi:10.2468/jbes.71.291

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Other Title

下咽頭頸部食道癌の切除と再建
下咽頭頸部食道癌の切除と再建 : 頸部食道癌の手術的アプローチ
カイントウケイブショクドウガンノセツジョトサイケン : ケイブショクドウガンノシュジュツテキアプローチ
─頸部食道癌の手術的アプローチ─

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<p>Cervical esophageal cancer （CEC） is a relatively uncommon malignancy, representing 5％ of all esophageal cancers. Treatment strategy of CEC varies between facilities because of its rarity and specific case features, so it is difficult to establish standard treatment. In recent years, treatments aimed at preserving the larynx by induction chemoradiotherapy or definitive chemoradiotherapy have been performed, and good clinical outcomes have been reported. In response, the role of operation in CEC treatment is expected to shift to surgery after induction therapy or salvage surgery after chemoradiotherapy. However, because surgery for cervical esophageal cancer is a major invasive procedure that can cause fatal complications, control of the complications is important. For larynx-preserving surgery, it is necessary to carefully examine the indications and to prevent postoperative aspiration. In particular, it is important to prevent serious complications such as tracheal necrosis, surgical field infection, and suture failure in surgery after radiation therapy. The importance of countermeasures against complications after radiation therapy is expected to increase in the future.</p>

Journal

Nihon Kikan Shokudoka Gakkai Kaiho

Nihon Kikan Shokudoka Gakkai Kaiho 71 (4), 291-296, 2020-08-10

The Japan Broncho-esophagological Society

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