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二氧化碳激光声带切除术作为日间手术。

CO2 laser cordectomy as a day-case procedure.

作者信息

Altuna X, Zulueta A, Algaba J

机构信息

Department of Otorhinolaryngology, Hospital Donostia, San Sebastián, Spain.

出版信息

J Laryngol Otol. 2005 Oct;119(10):770-3. doi: 10.1258/002221505774481200.

Abstract

OBJECTIVE

To evaluate the safety of CO2 laser cordectomy in the treatment of glottic carcinoma as a day-case procedure.

STUDY DESIGN

This was a retrospective study of a cohort of 73 patients with glottic carcinoma treated by laser cordectomy as a day-case procedure using a CO2 laser, between January 2000 and June 2004.

RESULTS

There were no major complications and no patients required reintubation. More than 90 per cent of the patients were discharged on the day of the procedure. There were seven unplanned admissions to hospital but none of these appeared to be the direct result of the surgery, and the patients were discharged the next day. All the patients stated they would have further surgery in this manner if required.

CONCLUSION

Laser cordectomy for glottic carcinoma can be safely performed as an out-patient procedure if patients are carefully selected according to specific criteria.

摘要

目的

评估二氧化碳激光声带切除术作为日间手术治疗声门癌的安全性。

研究设计

这是一项回顾性研究,研究对象为2000年1月至2004年6月期间采用二氧化碳激光进行声带切除术作为日间手术治疗的73例声门癌患者。

结果

无重大并发症,无一例患者需要再次插管。超过90%的患者在手术当天出院。有7例计划外入院,但这些似乎都不是手术的直接结果,患者于次日出院。所有患者均表示如有需要,他们愿意以这种方式接受进一步手术。

结论

如果根据特定标准仔细挑选患者,声门癌的激光声带切除术可作为门诊手术安全进行。

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