A multi-centre analysis of a decade of endoscopic pharyngeal pouch surgery in Cheshire and Merseyside
| Autor: | J Allan, D Pearson, Thomas Hampton, Richard Siau, Andrew S. Lau, M Junaid, S P Williams, H Emerson, G H Jones, T Kanzara, M D Wilkie |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test Pharyngeal pouch business.industry Pharynx Retrospective cohort study General Medicine Endoscopy Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis medicine Retrospective analysis Multi centre 030223 otorhinolaryngology business |
| Zdroj: | The Journal of Laryngology & Otology. 134:925-930 |
| ISSN: | 1748-5460 0022-2151 |
| DOI: | 10.1017/s0022215120002224 |
| Popis: | BackgroundThere are sparse data on the outcomes of endoscopic stapling of pharyngeal pouches. The Mersey ENT Trainee Collaborative compared regional practice against published benchmarks.MethodsA 10-year retrospective analysis of endoscopic pharyngeal pouch surgery was conducted and practice was assessed against eight standards. Comparisons were made between results from the tertiary centre and other sites.ResultsA total of 225 procedures were performed (range of 1.2–9.2 cases per centre per year). All centres achieved 90 per cent resumption of oral intake within 2 days. All centres achieved less than 2-day hospital stays. Primary success (84 per cent (i.e. abandonment of endoscopic stapling in 16 per cent)), symptom resolution (83 per cent) and recurrence rates (13 per cent) failed to meet the standard across the non-tertiary centres.ConclusionEndoscopic pharyngeal pouch stapling is a procedure with a low mortality and brief in-patient stay. There was significant variance in outcomes across the region. This raises the question of whether this service should become centralised and the preserve of either tertiary centres or sub-specialist practitioners. |
| Databáze: | OpenAIRE |
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