Consensus statement on management in the UK: Transoral laser assisted microsurgical resection of early glottic cancer
Consensus statement on management in the UK: Transoral laser assisted microsurgical resection of early glottic cancer
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DOI：
10.1111/j.1749-4486.2009.01944.x
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发表时间：
2009-08-01
影响因子：
2.1
通讯作者：
Paleri, V.
中科院分区：
文献类型：
--
作者：
Bradley, P. J.;Mackenzie, K.;Paleri, V.
背景：经口激光辅助显微手术切除早期声门喉癌是一种相对较新的治疗方式，在英国许多中心都在实施。在缺乏随机临床试验结果的情况下，临床医生可以遵循关于经口激光辅助显微手术切除早期喉部鳞状细胞癌的专家组共识声明。目的：就经口激光辅助显微手术切除早期声门癌的各个方面提供共识建议。评估方法：邀请英国九个中心描述经口激光辅助显微手术切除早期声门癌的当前实践和结果。成立了四个工作组，以就护理标准、手术程序、结果衡量和培训/认证达成共识。这些小组的反馈意见已纳入共识声明中。结论：共识会议确认了经口腔激光辅助显微手术切除术在英国各地已广泛用于早期声门癌的治疗。所获得的共同经验允许对管理的各个方面进行充分讨论，并在护理标准、手术、组织病理学报告、结果评估和培训等关键领域达成共识。该共识声明将导致对管理和结果传播进行更严格的审计。
Background:Transoral laser assisted microsurgical resection of early glottic laryngeal cancer is a relatively new treatment modality that is practised in many centres across the UK. In the absence of the results from randomised clinical trials, clinicians may be guided by an expert panel consensus statement on transoral laser assisted microsurgical resection of early squamous cell cancer of the larynx.Objective:To provide consensus recommendations on the various aspects of transoral laser assisted microsurgical resection for early glottic cancer.Evaluation method:Nine centres across the UK were invited to describe current practice and outcomes for transoral laser assisted microsurgical resection of early glottic cancer. Four working groups were created to draw consensus on standard of care, surgical procedures, outcomes measures and training/certification. The feedback from these groups was integrated into the consensus statement.Conclusions:The consensus meeting confirmed the stablished and widespread use of transoral laser assisted microsurgical resection for early glottic cancer throughout the UK. The common experience gained allowed a full discussion of all aspects of the management with consensus achieved in key areas of standards of care, surgery, histopathologic reporting, outcomes assessment and training. This consensus statement will result in closer auditing of management and dissemination of results.