Tomifuji Masayuki, Araki Koji, Kamide Daisuke, Tanaka Shingo, Tanaka Yuya, Fukumori Takayuki, Shiotani Akihiro
Nihon Jibiinkoka Gakkai Kaiho. 2014 Jun;117(6):821-6. doi: 10.3950/jibiinkoka.117.821.
Total laryngectomy is a well established method for the treatment of laryngeal cancer. In some cases such as elderly patients or patients with severe complications, a shorter surgical time is preferred. Total laryngectomy using a linear stapler is reportedly advantageous for shortening of the surgical time and for lowering the rate of pharyngeal fistula formation. We applied this surgical technique in three laryngeal cancer cases. After skeletonization of the larynx, the linear stapler is inserted between the larynx and the pharyngeal mucosa. Excision of the larynx and suturing of the pharyngeal mucosa are performed simultaneously. Although the number of cases is small for statistical analysis, the surgical time was shortened by about 30 minutes compared to laryngectomy with manual suturing. Total laryngectomy by linear stapler cannot be applied in all cases of advanced laryngeal cancer. However, if the tumor is confined to the endolarynx, it is a useful tool for some cases that require a shorter surgical time.
全喉切除术是治疗喉癌的一种成熟方法。在某些情况下，如老年患者或有严重并发症的患者，更倾向于手术时间较短的方式。据报道，使用线性吻合器进行全喉切除术有利于缩短手术时间并降低咽瘘形成率。我们将这种手术技术应用于3例喉癌病例。在喉部骨骼化后，将线性吻合器插入喉部与咽黏膜之间。同时进行喉部切除和咽黏膜缝合。尽管病例数量较少，无法进行统计分析，但与手工缝合的喉切除术相比，手术时间缩短了约30分钟。线性吻合器全喉切除术并非适用于所有晚期喉癌病例。然而，如果肿瘤局限于喉内，对于一些需要较短手术时间的病例来说，它是一种有用的工具。
