[闭合技术全喉切除术中的吻合器]
[The stapler in total laryngectomy with closed technique].
作者信息
Manola M, D'Angelo L, Longo F, De Vivo S, Villano S, De Maria G, Ionna F
机构信息
Istituto Nazionale dei Tumori di Napoli, Fondazione G Pascale, Divisione di Otorinolaringoiatria.
出版信息
Tumori. 2003 Jul-Aug;89(4 Suppl):260-2.
UNLABELLED
AIMS AND BACKGROUNDS: The use of the stapler in total laryngectomy with closed technique is described by the authors.
MATERIALS AND METHODS
From October 1999 to December 2002, 27 total laryngectomy were performed, 15 with a stapler and 5 cases had a primary tracheoesophageal puncture.
RESULTS
Only one patient developed a pharyngocutaneous fistula, no other patients experienced post-operative complications. All cases in this study had negative surgical margins.
CONCLUSION
The correct indication for the use of the stapler is a tumor that needs a total laryngectomy, but completely endolaryngeal. The technique allows to remove the nso-gastric tube at the end of the first week after the operation, to avoid soiling the surgical field, to reduce the time in theatre. This technique seems to be safe as the traditional suture.
未标注
目的与背景：作者描述了吻合器在全喉切除术封闭技术中的应用。
材料与方法
1999年10月至2002年12月，共进行了27例全喉切除术，其中15例使用吻合器，5例进行了一期气管食管穿刺。
结果
仅1例患者发生咽皮肤瘘，无其他患者出现术后并发症。本研究所有病例手术切缘均为阴性。
结论
吻合器的正确适应证是需要行全喉切除术但完全局限于喉内的肿瘤。该技术可在术后第一周结束时拔除鼻胃管，避免污染手术视野，减少手术时间。该技术似乎与传统缝合一样安全。
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