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We report two cases of perforation of reconstructed gastric tube ulcer after laryngopharyngoesophagectomy for advanced hypopharyngeal cancer. One case was a 59-year-old woman who had undergone laryngopharyngoesophagectomy with reconstruction by a gastric tube in 1994. A cuta-neo-gastric tube fistula in her neck, with no recurrence of cancer, was recognized in 2000. We per-formed surgery to close the fistula by a pectoralis-major-myocutaneal flap and a delto-pectoral flap. In 2004, a fistula formed again in the same part of her neck. We performed surgery again with free jejunum flap and skin graft. The other case was a 48-year-old man who had undergone laryngopharyngoesophagectomy with reconstruction by a gastric tube and a free jejunum flap in 1999. He had no recurrence of cancer and showed good progress for 1 year and 8 months. He consulted us complaining of hematemesis in 2001. Endoscopic examination revealed an ulcerative lesion of the reconstructed gastric tube that had perforated the right common carotid artery. Angiographical embolization was performed, but he was not successfully rescued.
特定非営利活動法人日本頭頸部外科学会の論文