Claudio Donadio Caporale, Francesco Chiari, Pasquale D'Alessio, Francesco Barbara, Pierre Guarino
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引用次数: 0
摘要
目的：声门上鳞状细胞癌（SCC）是器官保留治疗中的一大手术难题。I型开放性部分水平喉切除术（OPHL I）被认为是最受欢迎的手术。迄今为止，激光显微手术和经口机器人手术（TORS）等微创方法已越来越受到重视。本叙事性综述旨在对分别采用 OPHL I 和 TORS 治疗声门上型 SCC 患者的功能和肿瘤结果进行描述性比较：使用Pubmed数据库对2000年至2023年发表的文章进行了计算机检索。对采用 TORS 和 OPHL I 治疗的患者的功能和肿瘤结果进行了比较分析：本叙述性综述显示，与开放手术相比，TORS治疗声门上型SCC在功能疗效方面更具优势，同时保持了可比的肿瘤疗效：结论：尽管TORS是最近才被引入喉病理学治疗的，但它已被证明是一种可靠的技术，不仅在功能性结果方面，而且在肿瘤学结果方面也是如此，它确保了良好的总生存率、无病生存率以及与OPHL I相当的疾病控制率。
Transoral robotic surgery for supraglottic cancer. A review of oncological and functional outcomes compared to open surgery.
Objective: Supraglottic squamous cell carcinoma (SCC) represents a major surgical challenge in organ-preserving treatment. Type I open partial horizontal laryngectomy (OPHL I) is considered the most popular. To date, minimally-invasive approaches such as laser microsurgery and transoral robotic surgery (TORS) have gained increasing relevance. The aim of this narrative review is to obtain a descriptive comparison of functional and oncological outcomes from studies on patients with supraglottic SCC treated with OPHL I and TORS, respectively.
Material and methods: A computerised search was performed using the Pubmed database for articles published from 2000 to 2023. A comparative analysis on functional and oncological outcomes of patients treated by TORS and OPHL I was performed.
Results: The present narrative review shows a superiority of TORS compared to open surgery for supraglottic SCC in terms of functional outcomes, while maintaining comparable oncological outcomes.
Conclusions: Although recently introduced in the treatment of laryngeal pathology, TORS has been shown to be a reliable technique not only for functional but also for oncological outcomes, ensuring good overall survival, disease-free survival, and disease control rates comparable to OPHL I.
期刊介绍：
Acta Otorhinolaryngologica Italica first appeared as “Annali di Laringologia Otologia e Faringologia” and was founded in 1901 by Giulio Masini.
It is the official publication of the Italian Hospital Otology Association (A.O.O.I.) and, since 1976, also of the Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale (S.I.O.Ch.C.-F.).
The journal publishes original articles (clinical trials, cohort studies, case-control studies, cross-sectional surveys, and diagnostic test assessments) of interest in the field of otorhinolaryngology as well as clinical techniques and technology (a short report of unique or original methods for surgical techniques, medical management or new devices or technology), editorials (including editorial guests – special contribution) and letters to the Editor-in-Chief.
Articles concerning science investigations and well prepared systematic reviews (including meta-analyses) on themes related to basic science, clinical otorhinolaryngology and head and neck surgery have high priority.
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