Pharyngeal closure after a total laryngectomy: mechanical versus manual technique
| Autor: | M Quer-Agusti, Xavier León-Vintró, C Rovira-Martínez, J García-Lorenzo, M Casasayas-Plass, A Sansa-Perna, M López-Vilas |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Cutaneous Fistula Cutaneous fistula medicine.medical_treatment Laryngectomy Pharyngocutaneous Fistula Surgical Margins Suture (anatomy) Surgical Stapling medicine Humans In patient Laryngeal Neoplasms Aged Retrospective Studies Retrospective review business.industry Pharynx Suture Techniques General Medicine Middle Aged Surgery medicine.anatomical_structure Otorhinolaryngology Female Positive Surgical Margin business |
| Zdroj: | JOURNAL OF LARYNGOLOGY AND OTOLOGY r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau instname |
| ISSN: | 1748-5460 0022-2151 |
| Popis: | ObjectiveTo verify the main advantages and drawbacks of mechanical suturing for pharyngeal closure after total laryngectomy versus a manual suturing technique.MethodsA retrospective review was carried out of 126 total laryngectomies performed between 2008 and 2018. Manual closure was performed in 80 cases (63.5 per cent) and mechanical suturing was performed in 46 cases (36.5 per cent).ResultsMechanical suturing was used significantly more frequently in patients with: glottic tumours (p = 0.008), less local tumour extension (p = 0.017) and less pre-operative morbidity (p = 0.014). There were no significant differences in the incidence of pharyngocutaneous fistula between the manual suture group (16.3 per cent) and the mechanical suture group (13.0 per cent) (p = 0.628). None of the patients treated with mechanical suturing had positive surgical margins. Cancer-specific survival for the mechanical suture group was higher than that for the manual suture group (p = 0.009).ConclusionMechanical suturing of the pharynx after total laryngectomy is an oncologically safe technique if used in suitable cases. |
| Databáze: | OpenAIRE |
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