RT Book, Section
A1 Bueno, Raphael
A1 Rice, Thomas W.
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Burt, Bryan M.
A2 Groth, Shawn S.
A2 Loor, Gabriel
A2 Wolf, Andrea S.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1170409489
T1 Cancers of the Upper Aerodigestive Tract: Cervical Exenteration
T2 Sugarbaker’s Adult Chest Surgery, 3e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260026931
LK accesssurgery.mhmedical.com/content.aspx?aid=1170409489
RD 2024/04/19
AB Rarely,  locally  extensive  but  nonmetastatic  cancers  of  the  upper  aerodigestive  tract  require  resection.  Cancers  of  the  larynx,  cervical  trachea,  hypopharynx,  cervical  esophagus,  and  thyroid  can  be  exenterated  with  a  pharyngo-laryngo-tracheo-esophagectomy  as  primary  therapy,  salvage  after  failed  primary  therapy,  treatment  of  locally  recurrent  cancer,  treatment  of  benign  complications  of  successful  primary  therapy,  or  long-term  palliation.  The  enormity  of  these  procedures  is  further  overshadowed  by  the  likely  possibility  of  limited  survival,  the  potential  for  significant  complications,  and  the  expected  negative  impact  on  quality  of  life.  However,  in  curatively  resected  and  properly  reconstructed  patients,  long-lasting  effects  are  little  more  than  those  experienced  by  the  laryngectomy  patient.