Complications in CO2 Laser Transoral Microsurgery for Larynx Carcinomas.
Complications in CO2 Laser Transoral Microsurgery for Larynx Carcinomas.
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DOI：
10.1055/s-0035-1569145
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发表时间：
2016-04
影响因子：
1.1
通讯作者：
Hidalgo CS
中科院分区：
文献类型：
--
作者：
Chiesa Estomba CM;Reinoso FA;Velasquez AO;Fernandez JL;Conde JL;Hidalgo CS
经口激光显微手术（TLM）已成为声门、声门上和下咽部恶性肿瘤治疗的有效选择。然而，TLM并不是一种无害的技术。这种手术可能会出现出血、呼吸困难或引燃空气等并发症。 目的探讨声门癌和声门上癌经喉路显微镜（TLM）治疗后的并发症。 方法回顾性分析2009年1月至2012年3月在某三级甲等医院行TLM治疗的声门及声门上区各期（T1、T2、T3、T4）、N -/ +、M -/+喉鳞癌患者的临床资料。 结果98例患者符合纳入标准，共接受131次介入治疗。 94例（95.9%）患者为男性，4例（4.1%）为女性。平均年龄为64.2岁（± 10.7岁=最小45岁;最大88岁）。术中并发症的发生率较低，仅影响2%的患者。术后即刻并发症发生率为6.1%，而迟发性并发症发生率为13.2%，无致命性并发症。 结论与传统开放手术相比，TLM在介入治疗、术后即刻、延迟及远期放疗方面具有良好的肿瘤学效果，并发症发生率低。
Introduction Transoral laser microsurgery (TLM) has established itself as an effective option in the management of malignant tumors of the glottis, supraglottis, and hypopharynx. Nonetheless, TLM is not a harmless technique. Complications such as bleeding, dyspnea, or ignition of the air may appear in this type of surgery. Objective The aim of this study is to describe the complications that occurred in a group of patients treated for glottic and supraglottic carcinomas in all stages by TLM. Methods This study is a retrospective analysis of patients diagnosed with squamous cell carcinoma of the glottis and supraglottis for all stages (T1, T2, T3, T4), N -/ + , M -/+ treated with TLM between January 2009 and March 2012 in a tertiary hospital. Results Ninety-eight patients met the inclusion criteria, which had undergone a total of 131 interventions. Ninety-four (95.9%) patients were male and 4 (4.1%) were female. The mean age was 64.2 years (± 10.7 years = min 45; max 88). The presence of intraoperative complications was low, affecting only 2% of patients. Immediate postoperative complications occurred in 6.1%, whereas delayed complications affected 13.2% of patients, without any of them being fatal. Conclusion TLM has shown good oncologic results and low complication rate compared with traditional open surgery during intervention, in the immediate and delayed postoperative period and in the long-term with respect to radiotherapy.