Rezumat Cancerul laringian recidivat are incidenţã de 25-50% şi ratã de supravieţuire la 5 ani de 23-35%. Chirurgia este cel mai bun tratament pentru a realiza controlul local a recidivei tumorale. În acest articol, se prezintã strategia chirurgicalã în cazul unui pacient cu antecedente de laringectomie radical modificatã pentru cancer laringian şi cu recidivã tumoralã la nivelul traheostomiei extinsã la traheea toracicã şi la esofag. Timpul chirurgical de rezecţie a inclus manubriul sternal, traheea toracicã superioarã, esofagul în totalitate şi limfoganglionii mediastinali superiori. Timpul chirurgical de reconstrucţie a inclus traheostomia mediastinalã anterioarã şi esofagoplastia cu grefon colic pediculat simultan cu lamboul de pectoral mare pentru acoperirea defectului sternal. Cuvinte cheie: cancer laringian recidivat, traheostomia mediastinalã ante- rioarã, esofagoplastia, grefon colic Abstract Recurrent laryngeal cancer has an incidence of 25-50% and a 23-35% five- year survival rate. Surgery is the best treatment in order to control local recurrence. Herein, we present our surgical strategy for a patient with a his- tory of modified radical laryngectomy for laryngeal cancer and with recurrent tumor at the cervical tracheostomy site extended to the thoracic trachea and esophagus. The wide resection included the sternal manubrium, the upper thoracic trachea, the entire esophagus and the upper mediastinal lymph nodes. The reconstruction included anterior mediastinal tracheostomy and esophagoplasty with pedicled colonic graft simultaneously with pectoralis major flap for covering the sternal defect. Key words: recurrent laryngeal cancer, anterior mediastinal tracheostomy, esophagoplasty, colonic graft Simultaneous Total Esophagectomy and Anterior Mediastinal Tracheostomy for Recurrent Laryngeal Cancer Extended to the Superior Mediastinum Marius Fodor 1 , Marcel Cosgarea 2 , Lucian Fodor 3 1 Department of General and Vascular Surgery, County Hospital, Cluj-Napoca, Romania 2 Department of ENT, County Hospital, Cluj-Napoca, Romania 3 Department of Plastic Surgery, County Hospital, Cluj-Napoca, Romania Corresponding author: Marius Fodor, MD, PhD Department of General and Vascular Surgery, County Hospital Str. Clinicilor 1-3, 400006 Cluj-Napoca Romania E-mail: drfodor@yahoo.com Received: 16.10.2016 Accepted: 13.01.2017 Chirurgia, 112 (1), 2017 63 Chirurgia (2017) 112: 63-67 No. 1, January - February Copyright© Celsius http://dx.doi.org/10.21614/chirurgia.112.1.63 Case Report