Safety and outcome of three-dimensional transoral videolaryngoscopic surgery.

Autor: Ebisumoto K; Department of Otolaryngology - Head and Neck Surgery, Tokai University, Isehara, Japan., Sakai A; Department of Otolaryngology - Head and Neck Surgery, Tokai University, Isehara, Japan., Iijima H; Department of Otolaryngology - Head and Neck Surgery, Tokai University, Isehara, Japan., Maki D; Department of Otolaryngology - Head and Neck Surgery, Tokai University, Isehara, Japan., Yamauchi M; Department of Otolaryngology - Head and Neck Surgery, Tokai University, Isehara, Japan., Saito K; Department of Otolaryngology - Head and Neck Surgery, Tokai University, Isehara, Japan., Kaneda S; Department of Otolaryngology - Head and Neck Surgery, Tokai University, Isehara, Japan., Teramura T; Department of Otolaryngology - Head and Neck Surgery, Tokai University, Isehara, Japan., Watanabe T; Department of Otolaryngology - Head and Neck Surgery, Tokai University, Isehara, Japan., Inagi T; Department of Otolaryngology - Head and Neck Surgery, Tokai University, Isehara, Japan., Yanagiya R; Department of Otolaryngology - Head and Neck Surgery, Tokai University, Isehara, Japan., Yamazaki A; Department of Otolaryngology - Head and Neck Surgery, Tokai University, Isehara, Japan., Ashida H; Department of Otolaryngology - Head and Neck Surgery, Tokai University, Isehara, Japan., Ota Y; Department of Otolaryngology - Head and Neck Surgery, Tokai University, Isehara, Japan., Sato Y; Department of Otolaryngology - Head and Neck Surgery, Tokai University, Isehara, Japan., Yamamoto A; Department of Otolaryngology - Head and Neck Surgery, Tokai University, Isehara, Japan., Kobayashi N; Department of Otolaryngology - Head and Neck Surgery, Tokai University, Isehara, Japan., Okami K; Department of Otolaryngology - Head and Neck Surgery, Tokai University, Isehara, Japan.
Jazyk: angličtina
Zdroj: Head & neck [Head Neck] 2024 Aug; Vol. 46 (8), pp. 1873-1880. Date of Electronic Publication: 2024 Jan 24.
DOI: 10.1002/hed.27657
Abstrakt: Background: Transoral videolaryngoscopic surgery (TOVS) is widely used in Japan, and conventional two-dimensional (2D) endoscopic methods have been established. Three-dimensional (3D) endoscopic surgery offers superior distance perception because it provides stereoscopic views. Recently, we have developed 3D endoscopy for TOVS (3D TOVS).
Methods: This study included 46 patients with pharyngeal cancer who underwent 3D TOVS. The perioperative complications and survival curves were retrospectively analyzed.
Results: One patient with oropharyngeal cancer who underwent neck dissection and transoral resection simultaneously experienced postoperative hemorrhage of the neck. Another patient with oropharyngeal cancer underwent hemostasis for postoperative pharyngeal hemorrhage. There was one case of aspiration pneumonia. One patient developed cervical lymph node recurrence; however, there was no local recurrence or primary mortality. The 2-year overall survival, disease-specific survival, local control rates, locoregional control rate, and invasive disease-free survival were 90.9%, 100%, 100%, 97.4%, and 79.9%, respectively.
Conclusions: Three-dimensional endoscopy can be safely applied to TOVS.
(© 2024 Wiley Periodicals LLC.)
Databáze: MEDLINE