Y. Harada, S. Miyamoto, Y. Seino, T. Matsuki, K. Kano, Shohei Tsutsumi, Ayako Furuki, Kaho Momiyama, T. Yamashita
{"title":"复发口咽癌抢救经口手术后严重迟发性出血1例","authors":"Y. Harada, S. Miyamoto, Y. Seino, T. Matsuki, K. Kano, Shohei Tsutsumi, Ayako Furuki, Kaho Momiyama, T. Yamashita","doi":"10.5981/jjhnc.46.401","DOIUrl":null,"url":null,"abstract":"Transoral videolaryngoscopic surgery (TOVS) for pharyngeal and laryngeal cancer is a function-preserving surgery with low invasion and risk. However, it remains unclear whether TOVS is suitable as salvage surgery. We report a case that suffered severe postoperative hemorrhage after TOVS for recurrent tumor after chemo-radiotherapy despite the intention of minimally invasive salvage surgery. A 68-year-old man underwent TOVS due to T1 recurrent oropharyngeal cancer of the anterior wall after 8 years of initial treatment by chemoradiotherapy. However, the patient suffocated from severe hemorrhage on the 16th postoperative day, requiring emergency tracheotomy in a hospital ward and hemostasis in an operat-ing room. He has been followed for 18 months after surgery with functional preservation and no disease. TOVS might be applicable for salvage treatment as well as initial treatment as a function-preserving surgery. However, because it can lead to life-threatening postoperative bleeding especially in cases after radiotherapy, careful case selection and surgical planning are necessary.","PeriodicalId":38497,"journal":{"name":"Japanese Journal of Head and Neck Cancer","volume":"1 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A case of severe delayed hemorrhage after salvage transoral surgery for recurrent oropharyngeal cancer\",\"authors\":\"Y. Harada, S. Miyamoto, Y. Seino, T. Matsuki, K. Kano, Shohei Tsutsumi, Ayako Furuki, Kaho Momiyama, T. Yamashita\",\"doi\":\"10.5981/jjhnc.46.401\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Transoral videolaryngoscopic surgery (TOVS) for pharyngeal and laryngeal cancer is a function-preserving surgery with low invasion and risk. However, it remains unclear whether TOVS is suitable as salvage surgery. We report a case that suffered severe postoperative hemorrhage after TOVS for recurrent tumor after chemo-radiotherapy despite the intention of minimally invasive salvage surgery. A 68-year-old man underwent TOVS due to T1 recurrent oropharyngeal cancer of the anterior wall after 8 years of initial treatment by chemoradiotherapy. However, the patient suffocated from severe hemorrhage on the 16th postoperative day, requiring emergency tracheotomy in a hospital ward and hemostasis in an operat-ing room. He has been followed for 18 months after surgery with functional preservation and no disease. TOVS might be applicable for salvage treatment as well as initial treatment as a function-preserving surgery. However, because it can lead to life-threatening postoperative bleeding especially in cases after radiotherapy, careful case selection and surgical planning are necessary.\",\"PeriodicalId\":38497,\"journal\":{\"name\":\"Japanese Journal of Head and Neck Cancer\",\"volume\":\"1 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Japanese Journal of Head and Neck Cancer\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5981/jjhnc.46.401\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Japanese Journal of Head and Neck Cancer","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5981/jjhnc.46.401","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
A case of severe delayed hemorrhage after salvage transoral surgery for recurrent oropharyngeal cancer
Transoral videolaryngoscopic surgery (TOVS) for pharyngeal and laryngeal cancer is a function-preserving surgery with low invasion and risk. However, it remains unclear whether TOVS is suitable as salvage surgery. We report a case that suffered severe postoperative hemorrhage after TOVS for recurrent tumor after chemo-radiotherapy despite the intention of minimally invasive salvage surgery. A 68-year-old man underwent TOVS due to T1 recurrent oropharyngeal cancer of the anterior wall after 8 years of initial treatment by chemoradiotherapy. However, the patient suffocated from severe hemorrhage on the 16th postoperative day, requiring emergency tracheotomy in a hospital ward and hemostasis in an operat-ing room. He has been followed for 18 months after surgery with functional preservation and no disease. TOVS might be applicable for salvage treatment as well as initial treatment as a function-preserving surgery. However, because it can lead to life-threatening postoperative bleeding especially in cases after radiotherapy, careful case selection and surgical planning are necessary.