Jäckel Martin C, Martin Alexios, Steiner Wolfgang
ENT Department, Hospital of Darmstadt, Darmstadt, Germany.
Eur Arch Otorhinolaryngol. 2007 Jun;264(6):577-85. doi: 10.1007/s00405-007-0280-6. Epub 2007 Apr 20.
During the last 25 years, the treatment of tumors arising in the upper aerodigestive tract has changed fundamentally. Whereas surgery in the 1970s aimed at radical block resection and defect repair from outside, the establishment of transoral laser microsurgery marked a new era of organ- and function-preserving therapy. An international symposium, held on 10 and 11 June 2005 in Göttingen, was dedicated to a critical review and assessment of the current role of laser surgery for the treatment of head and neck cancer. Experts from five continents presented their experiences and scientific results and had an intensive exchange with participants from different countries. The topics of the symposium were focused on the surgical principles of laser resection, the oncological and functional results in comparison with traditional therapy, the difficulties and limits of laser surgery in distinct anatomical regions and on the role of radiotherapy. This report summarizes the most important results and statements and gives an overview of actual developments. The names and addresses of the participants mentioned in this report are appended below.
在过去25年里，上消化道肿瘤的治疗发生了根本性变化。20世纪70年代的手术旨在进行根治性整块切除并从外部修复缺损，而经口激光显微手术的出现标志着器官和功能保留治疗的新时代。2005年6月10日至11日在哥廷根举行的一次国际研讨会致力于对激光手术在头颈部癌治疗中的当前作用进行批判性回顾和评估。来自五大洲的专家介绍了他们的经验和科学成果，并与来自不同国家的与会者进行了深入交流。研讨会的主题集中在激光切除的手术原则、与传统治疗相比的肿瘤学和功能结果、激光手术在不同解剖区域的困难和局限性以及放射治疗的作用。本报告总结了最重要的结果和陈述，并概述了实际进展。本报告中提及的与会者姓名和地址附于下方。
