气管上部分喉切除术：适应证、肿瘤学及功能结果
Supratracheal partial laryngectomy: indications, oncologic and functional results.
作者信息
Succo Giovanni, Fantini Marco, Rizzotto Giuseppe
机构信息
aOtorhinolaryngology Service, Department of Oncology, Candiolo Cancer Institute FPO-IRCCS, University of Turin, Turin bOtorhinolaryngology Service, Vittorio Veneto Hospital, Vittorio Veneto, Treviso, Italy.
出版信息
Curr Opin Otolaryngol Head Neck Surg. 2017 Apr;25(2):127-132. doi: 10.1097/MOO.0000000000000344.
PURPOSE OF REVIEW
To describe current evidence about supratracheal laryngectomies, focusing on indications, contraindications, oncologic results, functional outcomes and side-effects of this 'extreme' function-sparing surgical approach to laryngeal cancer.
RECENT FINDINGS
In the latest years, some studies have analyzed oncologic and functional results of open partial supratracheal laryngectomy, a surgical approach whose modern technique was recently described. In selected patients, supratracheal partial laryngectomies show promising long-term oncologic and functional outcomes, similar to those of supracricoid partial laryngectomies.
SUMMARY
The application of supratracheal laryngectomy in the context of a surgical modular approach can be considered a valid and effective therapeutic choice for selected patients with glottic or transglottic laryngeal cancer with subglottic extension, not only in terms of oncologic results, but also in regard of functional outcomes.
综述目的
描述目前关于气管上喉切除术的证据，重点关注该“极端”保留功能的喉癌手术方法的适应症、禁忌症、肿瘤学结果、功能结局和副作用。
最新发现
近年来，一些研究分析了开放性部分气管上喉切除术的肿瘤学和功能结果，该手术方法的现代技术最近已有描述。在选定的患者中，气管上部分喉切除术显示出有前景的长期肿瘤学和功能结局，与环状软骨上部分喉切除术相似。
总结
在手术模块化方法的背景下，气管上喉切除术的应用对于选定的声门型或跨声门型喉癌伴声门下扩展患者而言，不仅在肿瘤学结果方面，而且在功能结局方面，都可被视为一种有效且可行的治疗选择。
Zotero 插件