Marandas P, Lambert J, Schwaab G, Mamelle G, Micheau C, Eschwege F, Richard J
Département de Carcinologie Cervico-Faciale, Institut Gustave-Roussy, Villejuif.
Ann Otolaryngol Chir Cervicofac. 1987;104(4):267-74.
The authors make a report on a series of 173 supraglottal horizontal laryngectomies carried out from 1970 to 1984 at the Gustave-Roussy Institute of Villejuif. After recalling of operability conditions and tackling characteristics of this series are quoted variants required from tumours localisations diversity and importance of extension. Then are treated clinical and anatomo-pathological classification as briefly surgeries results. This work is specially concerning in survival by analysing different topographical clinical and histological criteria. Survival of 173 patients, having gone through an supra-glottal laryngectomy is 45.5% at 3 years and 31.3% at 5 years. At least, reasons of failure are analysed. This kind of partial surgery caring of voice, should be proposed to patients affected by vallecula or epiglottis carcinomas as regards of good functional and improved carcinological results.
作者报告了1970年至1984年在维勒瑞夫古斯塔夫 - 鲁西研究所进行的一系列173例声门上水平喉切除术。在回顾了该系列手术的可操作性条件和处理特点后，列举了因肿瘤定位多样性和扩展重要性而需要的各种变体。然后简要论述了临床和解剖病理学分类以及手术结果。这项工作特别关注通过分析不同的局部、临床和组织学标准来研究生存率。173例接受声门上喉切除术患者的3年生存率为45.5%，5年生存率为31.3%。最后分析了失败原因。这种保留声音的部分手术，鉴于其良好的功能和改善的肿瘤学效果，应推荐给会厌谷或会厌癌患者。
