Artikel
Our overall experience treating laryngeal carcinomas using transoral microelectrodes surgery
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Veröffentlicht: | 26. März 2015 |
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Gliederung
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Introduction: We describe a surgical technique for the resection of laryngeal carcinomas using microelectrodes, and report our total results.
Material and methods: A total of 127 patients with glottic (66 T1, 6 T2 and 1 T3) and supraglottic (23 T1, 14 T2 and 17 T3) carcinomas underwent surgery using microelectrodes from January 2003 to January 2009. Minimum follow-up 5 years.
The following patient parameters were compiled: tumor location, T stage, age, sex, tracheostomy, requirement for nasogastric feeding, duration of hospital stay, and times for decannulation and recurrences.
Results: Thirty-one patients required a tracheostomy. A nasogastric feeding tube was indicated in fourteen cases. Postoperative complications were observed in five patients. The duration of hospital stay ranged from 1 to 90 days postoperatively, 120 cases remained in hospital for less than 10 days, in six patients the hospital stay ranged between 10-20 days. There were 14 cases with local recurrence (11%). Nine patients required total laryngectomy as a second surgical procedure. Six patients had a second laryngeal tumor after 2 years of evolution (4.7%).
Conclusions: All tumors that are resectable with CO2 laser can be resected using microelectrodes with similar oncological and functional results. Nevertheless ME have advantages over CO2 laser such as: shorter operating time, improved hemostasis, the ability to cut at an angle, a direct and real sense of “touch” through the instruments, excellent visualization with the high-intensity operating microscope light, easier handling of instruments and very low equipment costs.
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