经口激光显微手术整块切除声门上癌

IF 0.7 Q4 OTORHINOLARYNGOLOGY
Kerem Öztürk, Arın Öztürk, Goksel Turhal
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引用次数: 0

摘要

目的:经口激光显微手术(TLM)可实现声门上肿瘤整体切除,术后效果良好。我们报告用TLM整体切除声门上喉部鳞状细胞癌(LSCC)的手术可行性和术后结果。方法:选取17例声门上喉癌行TLM治疗的患者作为研究对象。回顾和分析患者的人口学、病理资料、临床和随访结果。结果:1型TLM患者3例,2a型1例,3b型12例,4b型1例。所有病例的切缘均为阴性。所有病例均不需要再切除或任何辅助治疗。8例患者因淋巴结转移接受辅助放疗。平均随访时间33.8±15.7个月(范围:10 ~ 65个月)。所有患者均无复发或远处转移。结论:经口入路结合CO2激光和显微术治疗声门上LSCC是一种完全切除的方法。声门上的三维结构可以通过充分的暴露来实现。在安全边缘的情况下,整体切除是可能的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
En Bloc Resection of Supraglottic Carcinomas with Transoral Laser Microsurgery
Objective: Complete en bloc supraglottic tumor excision with transoral laser microsurgery (TLM) can be achieved with good postoperative outcomes. We report surgical feasibility and the postsurgical outcomes of en bloc resection of supraglottic laryngeal squamous cell carcinomas (LSCC) with TLM. Methods: Seventeen patients who underwent TLM for supraglottic laryngeal cancer were included in the study. Demographic and pathological data, clinic and follow-up outcomes of the patients were reviewed and analyzed. Results: Type 1 TLM was performed in three patients, type 2a in one patient, type 3b in 12 patients, and type 4b in one patient. Negative surgical margins were achieved in all of the cases. Re-excision or any adjuvant treatment for positive resection margins was not required in any of the cases. Eight patients received adjuvant radiotherapy due to lymph node metastasis. Mean follow-up time was 33.8±15.7 months (range: 10–65 months). None of the patients had recurrence or distant metastasis. Conclusion: The transoral approach with the use of CO2 laser and microscopy offers complete tumor excision for treating supraglottic LSCC. The three-dimensional structure of the supraglottis can be achieved with adequate exposure. En bloc resection is possible with safe margins.
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