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Mr. U. did not believe his ear when the doctor announced that he had end-stage cancer of the larynx, which he needed to undergo complete surgical removal.
Patient Nguyen Van U., 52 years old in Hung Yen, came to K Hospital for examination with difficulty swallowing, a little difficulty in the neck, coughing up sputum for more than 1 month, taking the medicine not to help.
After examining and performing the test indications, the patient was diagnosed with stage 4 laryngopharyngeal cancer, tumor size 6×4 cm, metastasis of many lymph nodes, spread through the mouth of the esophagus, invasive head into the esophagus. handling 2 cm. This news is like “lightning in the ear” with Mr. U.
Dr. Pham Van Binh, Head of the Abdominal II Department, K Hospital, said that this is a very complicated surgery, with the indication to cut a part of the esophagus, the lower part of the throat and then replace the patient. can eat and drink normally. But choosing small intestine, large intestine or part of the stomach to replace the excision? And how to support the transplant?
U patient is under follow-up at Hospital K
Without this technique, the patient will not be able to eat or drink, it will not secure the airway, it will leave a hole in the entire neck area and it will not be able to prolong the quality of life.
After many consultations between the Department of Otolaryngology and Surgery, the doctors decided to replace the larynx with the small intestine.
At the end of November, the operation was carried out with the careful preparation of 3 surgical teams, including: 1 surgery team, nose and throat surgery, team 2 are gastrointestinal surgeons, team 3 are plastic surgeons. .
The surgery lasted 10 hours, cutting the entire lower larynx from the throat, removing the lymph nodes, and then using the jejunum that connects the throat and esophagus to recreate the sugar for the patient.
“This is the most difficult and advanced technique for head and neck cancer. Previously, reconstruction was still performed by other methods, such as the use of a large chest flap or a gastric tube. However, using the flap has many more advantages, such as the high healing rate of the flap, which is more physiological, the postoperative period is smoother, ”said Dr. Nguyen Tien Hung, Head of the Department of Ear, Nose and Surgery. Throat.
Currently, after more than 10 days of surgery, Patient U is awake, walking normally, the mouth is well connected, and continues to be monitored and treated.
The small intestine is used to shape the larynx of the patient.
The larynx is an organ located in the front of the neck, about 5 cm long and about 5 cm wide, above the trachea, below and behind the larynx is the esophagus. The larynx ensures breathing, swallowing and speaking.
Laryngeal cancer is one of the head, face and neck cancers. Laryngeal cancer can develop in any part of the larynx. When laryngeal cancer has metastasized, cancer cells usually invade nearby lymph nodes in the neck area, the back of the tongue, other parts of the throat and neck, the lungs, and other parts of the body.
Laryngeal cancer is common in male patients after the age of 50, especially those with a history of smoking and alcohol use.
Signs of laryngeal cancer include hoarseness, voice changes, a lump in the neck, sore throat or a feeling of tightness in the throat, prolonged cough, shortness of breath, weight loss …
Thuy Hanh
By smoking more than one pack of cigarettes a day, cancer cells multiply in the throat.
– Mr. Duc feels hoarse, his voice has changed in the last 3 months, when the doctor announced that he had cancer of the larynx.
