Zeitels Steven M, Dailey Seth H, Burns James A
Department of Otology and Laryngology, Harvard Medical School, Boston, MA, USA.
Laryngoscope. 2004 Jan;114(1):175-80. doi: 10.1097/00005537-200401000-00033.
During the last 30 years, there has been expansion of the role of endoscopic partial laryngectomy procedures since Jako, Strong, and Vaughan explored the possibilities of CO2 laser microlaryngeal procedures. Despite the fact that a number of investigators have verified the validity of endolaryngeal laser resection of mid-sized glottic cancer, there are many who are unfamiliar with the technique and others who are uncomfortable with sectioning the tumor to facilitate its resection. In the past 3 years, 15 patients underwent successful en block resection of mid-sized glottic cancer (T1b 2, T2b 11, T3 2). Because en block resection is more consistent with open oncologic approaches, this method should widen the acceptance of this approach in selected lesions. The nuances of en block endoscopic frontolateral laryngectomy are presented with the hope that more surgeons will adopt this philosophy as an aspect of their armamentarium.
在过去30年里，自从雅科、斯特朗和沃恩探索了二氧化碳激光显微喉手术的可能性以来，内镜下部分喉切除术的作用不断扩大。尽管许多研究者已经证实了内镜下切除中等大小声门癌的有效性，但仍有许多人不熟悉这项技术，还有一些人对切开肿瘤以利于切除感到不自在。在过去3年中，15例患者成功地整块切除了中等大小的声门癌（T1b 2例、T2b 11例、T3 2例）。由于整块切除更符合开放性肿瘤手术方法，这种方法应会扩大在选定病变中对该方法的接受度。本文介绍了整块内镜前外侧喉切除术的细微之处，希望更多的外科医生将这种理念纳入他们的手术方法中。
