Videolaryngoscopic Transoral En Bloc Resection of Supraglottic and Hypopharyngeal Cancers Using Laparoscopic Surgical Instruments
Videolaryngoscopic Transoral En Bloc Resection of Supraglottic and Hypopharyngeal Cancers Using Laparoscopic Surgical Instruments
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DOI：
10.1177/000348941011900403
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发表时间：
2010-04-01
影响因子：
1.4
通讯作者：
Saito, Koichiro
中科院分区：
文献类型：
--
作者：
Shiotani, Akihiro;Tomifuji, Masayuki;Saito, Koichiro
目的：我们评估了使用扩张喉镜和硬质视频内窥镜和腹腔镜手术器械进行声门上和下咽癌整块切除术的结果。方法：我们纳入了30例T1、T2或选定的T3声门上和下咽癌患者。9例患者接受放疗，对淋巴结阳性者行颈淋巴结清扫术。结果：该手术环境视野开阔，有利于双手操作腹腔镜手术器械，术后放疗效果满意。并使我们能够在21例患者中进行整块经口切除术，最短随访时间为1年（平均。术后3年生存率和喉功能保留率均为95%。2例预防性气管切开，1例术后保留喉功能。这些结果表明，使用腹腔镜手术器械的视频喉镜经口整块切除术可以是声门上和下咽癌的微创治疗选择之一，肿瘤学结局和术后喉功能
Objectives: We assessed the outcome of en bloc transoral resection of supraglottic and hypopharyngeal cancer using a distending laryngoscope with rigid videoendoscopic and laparoscopic surgical instrumentsMethods: We enrolled 30 patients with T1, T2, or selected T3 supraglottic and hypopharyngeal cancer in the study. 9 pal tents had under gone radiotherapy Neck dissections were performed for node-positive patients. Postoperative radiotherapy was administered to patients with multiple lymph node metastases or positive surgical marginsResults: This surgical environment provided a Wide view of the operative field, facilitating bimanual manipulation of laparoscopic surgical instruments. and enabled us to perform en bloc transoral resection In 21 cases with a minimum follow-up period of I year (average. 33 months, range, 1 5 to 56 months), the 3-year disease-specific survival rate and the laryngeal preservation rate were each 95% Normal food intake was eventually possible in all cases Tracheostomy was performed for 2 patients as a prophylactic measure and for 1 patient because of a postoperative hemorrhageConclusion: These results indicate that videolaryngoscopic transoral en bloc resection using laparoscopic surgical instruments can be one of the minimally invasive treatment options for supraglottic and hypopharyngeal cancers with satisfactory oncological outcome and postoperative laryngeal function