In:
Head & Neck, Wiley, Vol. 45, No. 8 ( 2023-08), p. 2098-2107
Abstract:
Endoscopic‐assisted transoral surgery (TOS) for superficial cancer of the pharyngo‐esophageal junction (PEJ) is risk of stricture, and therapeutic outcomes are unclear. This study aimed to evaluate clinical outcomes of endoscopic‐assisted TOS for superficial PEJ cancers. Methods We retrospectively compared clinical outcomes of endoscopic‐assisted TOS for superficial PEJ cancers (group A) and of other sites in the hypopharynx (group B). Results The group A comprised 12 lesions in 12 patients, and group B comprised 198 lesions in 146 patients. Group A and group B exhibited en bloc resection rates of 100% and 99%. Median operative times were 82 and 37 min ( p 〈 0.001). The frequency of stricture and local recurrence in group A was significantly higher in group B (42% vs. 1%, p 〈 0.001; 25% vs. 6%, p = 0.036). All adverse events could be managed with conservative treatments. Conclusions Endoscopic‐assisted TOS is not ideal for treating superficial PEJ cancers compared to other sites.
Type of Medium:
Online Resource
ISSN:
1043-3074
,
1097-0347
Language:
English
Publisher:
Wiley
Publication Date:
2023
detail.hit.zdb_id:
2001440-5
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