caa a22 4500 388083174 CHVBK 20180307125223.0 cr unu---uuuuu 161130e199903 xx s 000 0 eng 10.1017/S002221510014366X doi S002221510014366X pii (NATIONALLICENCE)cambridge-10.1017/S002221510014366X A third decade's experience with the gastric pull-up operation for hypopharyngeal carcinoma: changing patterns of use [Elektronische Daten] Gastric transposition has been used extensively in this department since 1965 for reconstruction following pharyngolaryngoesophagectomy (PLO). A previous report by Harrison and Thompson in 1986 detailed our experience with 101 cases dating back to 1965. Here we review our experience between 1986-1996. Medical records of 41 cases were examined. The primary site and stage of tumour and associated lymph nodes, patient demographics, complications, in-patient mortality and survival as demonstrated by the Kaplan-Meier method were recorded. Gastric transposition is now used for more extensive tumours: 70 per cent T4 (83 per cent pathologically T4) compared to 21 per cent in the previous report. A high proportion of ‘radiation failures' remains (54 per cent). The in-hospital mortality has fallen from 11 per cent to seven per cent. The five-year-survival calculated using the Kaplan-Meier method is 11 per cent. This procedure is increasingly being used as a palliative procedure aiming to restore swallowing in the relatively young patient who has very extensive hypopharyngeal carcinoma. Long-term survival rates specific to this operation have fallen. This is attributed to patient selection for the procedure with the vast majority having disease extending into bone, cartilage or soft tissues (T4). The defect created by the resection of less extensive tumours are now increasingly reconstructed with jejunal free flaps and musculocutaneous flaps. Copyright © JLO (1984) Limited 1999 Hypopharyngeal neoplasms nationallicence Stomach nationallicence Survival rate nationallicence complications nationallicence Hartley B. E. J. Royal National Throat Nose and Ear Hospital, Grays Inn Road, London, UK. Bottrill I. D. Royal National Throat Nose and Ear Hospital, Grays Inn Road, London, UK. Howard D. J. Royal National Throat Nose and Ear Hospital, Grays Inn Road, London, UK. The Journal of Laryngology & Otology Cambridge University Press 113/3(1999-03), 241-243 0022-2151 113:3<241 1999 113 JLO https://doi.org/10.1017/S002221510014366X text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S002221510014366X text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hartley B. E. J. Royal National Throat Nose and Ear Hospital, Grays Inn Road, London, UK NATIONALLICENCE 700 1- Bottrill I. D. Royal National Throat Nose and Ear Hospital, Grays Inn Road, London, UK NATIONALLICENCE 700 1- Howard D. J. Royal National Throat Nose and Ear Hospital, Grays Inn Road, London, UK NATIONALLICENCE 773 0- The Journal of Laryngology & Otology Cambridge University Press 113/3(1999-03), 241-243 0022-2151 113:3<241 1999 113 JLO CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge