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During the last month, Mr. Nguyen Van U. (52 years old, from Hung Yen) had the sensation of swallowing, a little stuck in the neck, coughing up sputum, but taking medicine forever. When visiting the K National Hospital, the results showed that the patient had a malignant tumor in the lower larynx.
According to Dr. Nguyen Tien Hung, Head of the Department of Ear, Nose and Throat Surgery at National K Hospital, at the time of the examination, the patient discovered a 4×6 cm size tumor, spread through the mouth of the esophagus, which invaded the first 2 cm. in the esophagus – neck. The pathology results in stage 4 (end-stage) squamous cell carcinoma.
Dr Pham Van Binh, Head of the Abdominal II Department, K Hospital, said that patients with stage 4 laryngeal cancer can eat and drink normally after cutting a part of the esophagus, completely lowering the throat. I need a replacement agency. “One is that in the cancer treatment process, it is always necessary to ensure radical, take all cancerous lesions, but with the damage lost in the lower throat, the patient’s larynx needs to be replaced by another organ” – Doctor Shared Dr. Binh.
The patient has a regeneration of the gastrointestinal tract for the treatment of lower throat cancer, which helps to eat and drink normally.
After the consultation, the doctors replaced the small intestine from the abdomen to the neck area. However, according to doctors, the biggest difficulty is feeding the replacement small intestine so that the small intestine has good blood circulation. When the small intestine lives, the small intestine function will help the patient to eat and drink. The surgery was performed at the end of November for 10 hours, with the participation of dozens of doctors and physicians from 3 surgical teams of 3 specialties (ear – nose – throat, digestive and plastic modeling).
Dr. Nguyen Tien Hung said that in the past, reconstruction was done using other methods, such as a large chest flap or a stomach tube. However, the flap has many more advantages, that is, the high healing rate of the flap, the smooth postoperative compared to the gastric tube. “For patients with U., to ensure both a radical and autologous small intestine transplant, we have decided to take a small intestine, which is perfused by the branches of the arteries, as well as the blood circulates back to the branch. The veins come from the carotid artery to support this small intestine.This part of the small intestine is connected to the two ends of the lower throat; the larynx was removed during cancer surgery to form a continuous line.in the digestive tract, helping to eat and drink normally “- described Dr. Hung.
The patient recovers after surgery.
Currently, after more than 10 days, patient U is awake, walking normally, the mouth is well connected, and continues to be monitored and treated. The success of the surgery is an important turning point in the surgical profession at Hospital K. Without this technique, the patient will not be able to eat or drink, will not be able to secure the airway, leaving a gap in the whole. neck area. With that, the patient’s life is almost impossible to last.
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