Outcome after surgery preserving pharynx and larynx for cervical esophageal cancer

Objective To evaluate the long-term survival of multidisciplinary treatment based on thoracic surgery for cervical esophageal squamous cell carcinoma.Methods The clinical characters and follow-up data of forty-one cervical esophageal cancer patients who accepted muhidisciplinary treatment based on surgery with preservation of pharynx and larynx were retrospectively reviewed,and the long-term survival was compared with 480 non-cervical esophageal cancers who accepted surgery in the same period done by the same surgical team.Results There were 28 males and 13 females with a mean age of 62 years old.In the cervical esophageal cancer group,30 patients accepted neoadjuvant chemotherapy, 25 patients accepted adjuvant chemotherapy, and 21 patients accepted both. Six patients received postoperative radiation.Four patients underwent exploratory surgery alone,and 37 cases underwent radical surgery and cervical anastomosis.One case died during the perioperative period.The 1-,3-,5- and 8-year survival rates were 96.8％,52.6％,35.1％,and 35.1％ in the 36 patients with cervical esophageal cancer who underwent radical surgery,and were 85.0％,54.3％,45.0％,and 36.7％ respectively in the 457 non-cervical esophageal cancer patients.There was no significant difference between the cervical group and non-cervical group (P=0.91). Conclusion Cervical esophageal cancer should be treated in a multidisciplinary approach to obtain satisfactory longterm outcomes. Key words: Esophageal neoplasms, cervical;  Esophagectomy;  Multidisciplinary therapy;  Survival rate