Peri- and postoperative complications after laser surgery of tumors of the upper aerodigestive tract
Peri- and postoperative complications after laser surgery of tumors of the upper aerodigestive tract
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DOI：
10.1016/j.amjoto.2006.08.008
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发表时间：
2007-05-01
影响因子：
2.5
通讯作者：
Steiner, Wolfgang
中科院分区：
文献类型：
--
作者：
Ellies, Maik;Steiner, Wolfgang
背景资料：由于激光手术在上呼吸消化道肿瘤治疗中的应用越来越多，因此对此类手术的术中和术后并发症也有讨论。这是本调查的目的，根据大量的治疗患者，指出激光手术的并发症，并给出提示可能的dangeres.Patients和方法：共1528例患者患有上呼吸消化道肿瘤进行了调查。结果：术中、术后并发症的发生与肿瘤的部位、分期有关。指出术后出血是上呼吸消化道肿瘤激光手术的主要并发症。总体而言，有低并发症发生率，特别是手术后的声门癌在早期stage.Conclusions：围手术期和术后并发症激光手术后的上呼吸消化道肿瘤是相对较少的事件。由于术后出血是最常见的并发症，因此每个进行激光手术的诊所都应该对这种并发症有明确的管理概念。此外，应制定避免这些并发症的策略。(c)2007年爱思唯尔公司All rights reserved.
Background: Because of the increasing use of laser surgery for tumors of the upper aerodigestive tract, there is also a discussion in peri- and postoperative complications of this kind of surgery. It was the aim of the present investigation, based on a great number of treated patients, to point out the complications of laser surgery and give a hint for possible dangers.Patients and methods: Altogether, 1528 patients suffering from tumors of the upper aerodigestive tract were investigated. The peri- and postoperative complications were assumed in respect to localization and stage of tumor.Results: The different evidence of complications depended on the localization and stage of tumor. It was pointed out that postoperative bleeding is the main complication after laser surgery of tumors of the upper aerodigestive tract. Overall, there were low complication rates especially after surgery of glottic carcinomas in early stages.Conclusions: Peri- and postoperative complications after laser surgery of tumors of the upper aerodigestive tract are relatively seldom events. Because of the fact that postoperative bleeding is the most common complication, every clinic that performs laser surgery should have a clear concept of management for this complication. Also, strategies to avoid these complications should be developed. (c) 2007 Elsevier Inc. All rights reserved.