Complications following gastric transposition after total laryngo-pharyngectomy

Aims: To investigate restoration of the pharynx after total laryngo-pharyngectomy (TLP), one of the major problems in head and neck surgery. Methods: A retrospective analysis of 60 patients undergoing total laryngo-pharyngectomy with gastric transposition was prl-formed between June 1991 and June 1996. The analysis focused on morbidity, mortality and long-term function following gastric transposition. Results: The post-operative mortality was 8.3% and the peri-operative morbidity 31.2%. The average hospital stay was 15 days. Immediate restoration of swallowing was achieved in 83% of patients. Conclusions: Gastric transposition after total laryngo-pharyngectomy is a safe procedure and can be performed with low mortality, acceptable morbidity and good long-term function.