A matched pair analysis of outcomes after stapler-assisted pharyngeal closure following laryngectomy.

IF 1.1 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2024-10-22 DOI:10.1017/S0022215124001269

Antony Abraham Paulose, Rajiv Charles Michael, Natarajan Ramalingam, Jeyashanth Riju, Mahasampath Gowri S, Lisa Abraham, Jino Johns L, Manu Mathew, Meera Thomas, Aparna Irodi

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引用次数: 0

Abstract

Objective: To compare perioperative and oncological outcomes between stapler and manual closure in patients undergoing total laryngectomy for advanced endolaryngeal squamous cell carcinoma.

Methods: Patients with advanced endolaryngeal tumours operated between July 2017 and July 2023 were retrospectively dichotomised into stapler closure and manual closure cohorts and compared.

Results: Seventy-one patients with a median age of 57 years were included in our study. The median surgical duration was 270 minutes for the manual closure cohort and 245 minutes for the stapler closure cohort. The pharyngo-cutaneous salivary fistula rate was 6 per cent less in the stapler closure cohort. The estimated mean survival was not significantly different 54.5 months (95 per cent, confidence interval 46.3-62.71) in the manual closure cohort versus 28.12 months (95 per cent, confidence interval 23.6-32.63) in the stapler closure cohort (p = 0.79).

Conclusion: Stapler closure can be used in endolaryngeal tumours, and it reduces operating time, thus facilitating efficient utilisation of operation time with non-inferior oncological outcomes as compared to traditional manual closure.

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喉切除术后订书机辅助咽部闭合术结果的配对分析。

目的：比较吻合器与手工闭合在晚期咽内鳞状细胞癌全喉切除术患者围手术期及肿瘤预后。方法：回顾性地将2017年7月至2023年7月间手术的晚期咽内肿瘤患者分为吻合器闭合组和手工闭合组进行比较。结果：我们的研究纳入了71例患者，中位年龄为57岁。手工缝合组的中位手术时间为270分钟，订书机缝合组的中位手术时间为245分钟。吻合器闭合组的咽-皮唾瘘发生率低6%。手工缝合组的估计平均生存期为54.5个月（95%，置信区间为46.3-62.71），而订书机缝合组的估计平均生存期为28.12个月（95%，置信区间为23.6-32.63），差异无统计学意义（p = 0.79）。结论：吻合器缝合术可用于咽内肿瘤，与传统的手工缝合术相比，可减少手术时间，有效利用手术时间，肿瘤预后良好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.