Wen Yihui, He Zicheng, Li Jian
Department of Otorhinolaryngology Head and Neck Surgery,the First Affiliated Hospital of Sun Yat-sen University,the Institute of Otorhinolaryngology of Sun Yat-sen University,Guangzhou Key Laboratory of Otorhinolaryngology Head and Neck Surgery,Guangzhou,510080,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 Aug;38(8):762-768. doi: 10.13201/j.issn.2096-7993.2024.08.018.
Compared with re-radiotherapy or open surgery, endoscopic surgery for recurrent nasopharyngeal carcinoma has a better effect, which not only improves the overall survival rate, but also reduces serious complications, improves the quality of life and saves medical costs. With the advancement of modern surgical equipment and instruments, the deepening of anatomical research in the field of skull base, the improvement of surgical techniques and the development of multidisciplinary teamwork, the safety of endoscopic surgery and the rate of complete tumor resection will also increase. The indications for surgery are further expanded, and more patients with recurrent nasopharyngeal carcinoma benefit from endoscopic minimally invasive surgery. This article reviews the efficacy of endoscopic surgery for recurrent nasopharyngeal carcinoma, and then provides insights for the selection of clinical treatment strategies for recurrent nasopharyngeal carcinoma.
与再程放疗或开放手术相比,内镜手术治疗复发性鼻咽癌效果更佳,不仅提高了总生存率,还减少了严重并发症,改善了生活质量并节省了医疗费用。随着现代手术设备和器械的进步、颅底领域解剖学研究的深入、手术技术的提高以及多学科团队协作的发展,内镜手术的安全性和肿瘤完全切除率也将提高。手术适应证进一步扩大,更多复发性鼻咽癌患者受益于内镜微创手术。本文综述了内镜手术治疗复发性鼻咽癌的疗效,进而为复发性鼻咽癌临床治疗策略的选择提供见解。