Department of Clinical Sciences, College of Veterinary Medicine, Auburn University, Auburn, Alabama, USA.
Vet Comp Oncol. 2021 Dec;19(4):678-684. doi: 10.1111/vco.12681. Epub 2021 Feb 2.
The objective of this report is to describe the surgical technique for total laryngectomy and outcome in six dogs. Laryngeal cancer is an uncommon and challenging clinical problem. Total laryngectomy can provide local disease control but is uncommonly performed. Detailed procedural descriptions are limited and similarly limited information is available regarding patient outcome. Institutional medical records were searched for dogs treated with total laryngectomy. Six dogs were identified. The procedure resulted in postoperative quality of life similar to permanent tracheostomy alone. Surgical margin status was evaluated in five of six cases and was complete in those five. All dogs survived to discharge from the hospital. Complications were mostly related to tracheostomy occlusion or collapse which is recognized as a complication associated with permanent tracheostomy. Patient quality of life was acceptable. Local recurrence was suspected in one dog. Recurrence was not observed in the case with unknown margin status.
本报告的目的是描述 6 只狗全喉切除术的手术技术和结果。喉癌是一种罕见且具有挑战性的临床问题。全喉切除术可以提供局部疾病控制，但很少进行。详细的手术描述有限，同样，关于患者结果的信息也有限。对接受全喉切除术的狗进行了机构医疗记录搜索。确定了 6 只狗。该手术的术后生活质量与单独进行永久性气管造口术相似。在 6 例中有 5 例评估了手术切缘状态，且在这 5 例中均为完全切缘。所有狗均存活至出院。并发症主要与气管造口堵塞或塌陷有关，这是与永久性气管造口相关的一种并发症。患者生活质量可接受。一只狗疑似局部复发。在切缘状态未知的病例中未观察到复发。
