Revisiting the Gastric Pull-Up for Pharyngoesophageal Reconstruction: A Systematic Review and Meta-Analysis of Mortality and Morbidity

被引：21

作者：

Butskiy, Oleksandr ^{[1
,2
]}

Rahmanian, Ronak ^{[1
,2
]}

White, Richard A. ^{[3
]}

Durham, Scott ^{[1
,2
]}

Anderson, Donald W. ^{[1
,2
]}

Prisman, Eitan ^{[1
,2
]}

机构：

[1] Vancouver Gen Hosp, Div Otolaryngol Head & Neck Surg, Vancouver, BC, Canada

[2] Univ British Columbia, Vancouver, BC, Canada

[3] Univ British Columbia, Dept Stat, Stat Consulting & Res Lab, Vancouver, BC, Canada

来源：

JOURNAL OF SURGICAL ONCOLOGY | 2016年 / 114卷 / 08期

关键词：

gastric pull-up; pharyngoesophageal reconstruction; morbidity; mortality; hypopharynx; laryngopharyngoesophagectomy; PHARYNGO-LARYNGO-ESOPHAGECTOMY; CERVICAL ESOPHAGUS; SURGICAL-MANAGEMENT; HYPOPHARYNGEAL CARCINOMA; FREE FLAPS; CANCER; TRANSPOSITION; REPLACEMENT; PHARYNGOLARYNGOESOPHAGECTOMY; PHARYNGOLARYNGECTOMY;

D O I：

10.1002/jso.24477

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Gastric pull-up (GPU) is among the oldest techniques for reconstructing the pharyngoesophageal junction following cancer resection. This review examines morbidity and mortality rates following GPU pharyngoesophageal junction reconstruction from 1959 until present: 77 studies, 2,705 patients. The odds of mortality, anastomotic complications, and other complications decreased by 37.2% (95% CI = 28.0-45.3%; P < 0.0001), 8.0% (95% CI = -2.1 to 17.1%; P = 0.12), 21.0% (95% CI 3.5-35.2%; P = 0.021) per decade respectively. (C) 2016 Wiley Periodicals, Inc.

引用

页码：907 / 914

页数：8

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