Using a linear stapler for pharyngeal closure in total laryngectomy

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• 作者：Xinrui Zhang (1)
  Zhimin Liu (1)
  Quan Li (1)
  Xuekui Liu (1)
  Hao Li (1)
  Weiwei Liu (1)
  Qiuli Li (1)
  Zhuming Guo (1)
  Zongyuan Zeng (1)
  
• 关键词：Laryngeal cancer ; Total laryngectomy ; Complications ; Stapler ; Pharyngocutaneous fistula
• 刊名：European Archives of Oto-Rhino-Laryngology
• 出版年：2013
• 出版时间：March 2013
• 年：2013
• 卷：270
• 期：4
• 页码：1467-1471
• 全文大小：396KB
• 参考文献：1. Bedrin L, Ginsburg G, Horowitz Z, Talmi YP (2005) 25-year experience of using a linear stapler in laryngectomy. Head Neck 27(12):1073-079 CrossRef
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  15. Calli C, Pinar E, Oncel S (2011) Pharyngocutaneous fistula after total laryngectomy: less common with mechanical stapler closure. Ann Otol Rhinol Laryngol 120(5):339-44
  
• 作者单位：Xinrui Zhang (1)
  Zhimin Liu (1)
  Quan Li (1)
  Xuekui Liu (1)
  Hao Li (1)
  Weiwei Liu (1)
  Qiuli Li (1)
  Zhuming Guo (1)
  Zongyuan Zeng (1)
  
  1. State Key Laboratory of Oncology in South China, Department of Head and Neck Surgery, Cancer Center of Sun Yat-Sen University, Guangzhou, 510060, Guangdong, People’s Republic of China
  
• ISSN：1434-4726

文摘

This study aimed to evaluate the value of using a linear stapler device in total laryngectomy using a prospective study. Twenty-one total laryngectomies were performed from August 2010 to April 2012, using TA-60 linear stapler for pharyngeal closure. Data collected included age, sex, staging, surgical margins and postoperative course (including complications and swallowing). Patients comprised twenty men and one woman. The mean age was 64?years. Two patients underwent preoperative radiotherapy. Four patients recurred after radiotherapy. Fifteen patients were untreated. Negative surgical margins were achieved in all patients. One patient developed slight pharyngocutaneous fistula. Patients resumed oral intake at 7?days. The mean hospital stay was 10?days. Using a linear stapler to close laryngopharyngeal cavity in total laryngectomy is simple, reliable and practical, avoids pollution of surgical area, saves operation time and decreases the incidence of pharyngocutaneous fistula. It is worthy of clinical application for selected cases. Level of Evidence Case-series