Levy C, Rivière F, Berreby S, Deffrennes D, Gilain L, Denoyelle F, Trotoux J
Ann Otolaryngol Chir Cervicofac. 1986;103(6):399-409.
Of a total of 219 partial laryngectomies performed, 119 were cordectomies, 30 hemilaryngectomies and 70 supraglottic laryngectomies. Results of each type of operation are presented with emphasis on problems of local recurrences, evidence of validity of procedure selected and of its indications. Analysis of results, with the reservation that indications were sometimes wide but always reasonable, showed an extremely low incidence of recurrences, the quality of the resection (limited or insufficient) having finally little incidence on the latter, except perhaps in the supraglottic laryngectomies. It is suggested, therefore, that no attempt should be made to "recover" a histologically detected insufficient excision by complementary radiotherapy not required in principle. This assists follow up review and allows secondary therapy if an unfavorable course is noted.
在总共进行的219例部分喉切除术当中，119例为声带切除术，30例为半喉切除术，70例为声门上喉切除术。每种手术的结果均有呈现，重点关注局部复发问题、所选手术方法及其适应症的有效性证据。结果分析表明，尽管有时适应症范围较广，但始终合理，复发率极低，除了声门上喉切除术外，切除质量（有限或不足）最终对复发率影响很小。因此，建议不应试图通过原则上不需要的辅助放疗来“弥补”组织学检查发现的切除不足。这有助于随访复查，并在发现病情不利时允许进行二次治疗。
