Villeneuve Alexandre, Vergez Sébastien, Bakhos David, Lescanne Emmanuel, Pinlong Eric, Morinière Sylvain
Department of ENT-Head and Neck Surgery, Regional Hospital University Centre of Tours, 2, Boulevard Tonnellé, 37044, Tours Cedex 9, France.
Department of ENT-Head and Neck Surgery, Regional Hospital University Centre of Toulouse, Toulouse, France.
Eur Arch Otorhinolaryngol. 2016 Nov;273(11):3813-3817. doi: 10.1007/s00405-016-4171-6. Epub 2016 Jun 29.
We herein report our experience with the management of laryngoceles using transoral robotic surgery (TORS). A bicentric retrospective study was conducted from November 2009 to September 2015. The inclusion criteria were treatment of a laryngocele by TORS and no malignancy on definitive histopathology. Surgery was performed using the Da Vinci (Intuitive) surgical robot. Surgical methods and post-operative outcomes were evaluated. Eight patients (four men and four women) presenting with a laryngocele (one bilateral case) were included (mean age 61.8 years). There was one covering tracheotomy. The average post-operative stay was 3.75 days. Three patients treated for a combined laryngocele had a nasogastric feeding tube inserted for 5 days. One patient experienced late laryngeal bleeding that required surgical treatment. TORS may offer an efficient treatment option for laryngoceles. The use of precise and flexible instruments and a three-dimensional camera allow fine dissection of these tumours, preserving the glottic space and vocal function, even for combined laryngoceles extending deep within the neck.Evidence level: 4.
我们在此报告经口机器人手术（TORS）治疗喉气囊肿的经验。2009年11月至2015年9月进行了一项双中心回顾性研究。纳入标准为采用TORS治疗喉气囊肿且最终组织病理学检查无恶性病变。手术使用达芬奇（直观）手术机器人进行。评估手术方法和术后结果。纳入8例出现喉气囊肿的患者（4例男性和4例女性）（1例双侧病例）（平均年龄61.8岁）。有1例进行了预防性气管切开术。平均术后住院时间为3.75天。3例合并喉气囊肿的患者插入鼻胃饲管5天。1例患者出现迟发性喉出血，需要手术治疗。TORS可能为喉气囊肿提供一种有效的治疗选择。使用精确且灵活的器械和三维摄像头可对这些肿瘤进行精细解剖，即使对于延伸至颈部深处的合并喉气囊肿，也能保留声门间隙和发声功能。证据级别：4级。
