Li W Y, Huo H, Yang D H, Liu J H, Wang J, Jin X F, Niu Y Y
Department of Otorhinolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 May 7;52(5):332-336. doi: 10.3760/cma.j.issn.1673-0860.2017.05.003.
To introduce the method of transoral coblation-assisted endoscopic minimally invasive surgery for superficial tongue base tumour. A total of 15 patients treated with transoral coblation-assisted endoscopic minimally invasive surgery from Mar. 2006 to Aug. 2016 were retrospectively reviewed. There were 9 patients with malignant tumors, 6 patients with benign neoplasms. Adjuvant postoperative radiation therapy was applied in three cases of squamous cell carcinoma, neck was performed in four cases of cancer. One case of non-Hodgkin lymphoma received postoperative chemotherapy. One case with ectopic thyroid gland was treated by subtotal resection and one case with squamous cell carcinoma changed into open surgery because of major lingual artery bleeding. The resection under edoscope was achieved in 92.86%(13/14)of patients. Fifteen cases of neoplasms were followed-up for 8-50 months(median 20 months), one patient with Cowden syndrome was lost to follow-up because of appendical carcinoid combined pulmonary metastasis, one patient with non-Hodgkin lymphoma died of recurrence in other head neck areas 2 years after chemotherapy. Transoral coblation-assisted endoscopic surgery can successfully treat for the patients with superficial tongue base tumours.
介绍经口低温等离子辅助内镜下微创治疗舌根部浅表肿瘤的方法。回顾性分析2006年3月至2016年8月期间采用经口低温等离子辅助内镜下微创手术治疗的15例患者。其中恶性肿瘤9例，良性肿瘤6例。3例鳞状细胞癌患者术后接受辅助放疗，4例癌症患者行颈部手术。1例非霍奇金淋巴瘤患者术后接受化疗。1例异位甲状腺患者行次全切除术，1例鳞状细胞癌患者因舌动脉大出血改为开放手术。92.86%（13/14）的患者实现了内镜下切除。15例肿瘤患者随访8 - 50个月（中位20个月），1例考登综合征患者因阑尾类癌合并肺转移失访，1例非霍奇金淋巴瘤患者化疗后2年死于其他头颈部区域复发。经口低温等离子辅助内镜手术可成功治疗舌根部浅表肿瘤患者。
