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外向型经口声门上喉切除术

Exoscopic Transoral Supraglottic Laryngectomy.

作者信息

Deganello Alberto, Gualtieri Tommaso, Testa Gabriele, Rampinelli Vittorio, Berretti Giulia, Paderno Alberto, Piazza Cesare

机构信息

Otolaryngology Head and Neck Surgery Department of IRCCS, National Cancer Institute (INT), Milan, Italy.

Department of Otorhinolaryngology, Head and Neck Surgery, ASL Toscana Centro, SOC otorinolarigoiatria 1, Prato, Italy.

出版信息

Laryngoscope. 2025 Feb;135(2):744-747. doi: 10.1002/lary.31767. Epub 2024 Sep 12.

DOI:10.1002/lary.31767
PMID:39263883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11725688/
Abstract

This article, accompanied by technical notes and video, presents a case of an 85-year-old patient with a cT2N0 laryngeal squamous cell carcinoma treated using CO transoral laser exoscopic surgery (TOLES). The procedure achieved en bloc tumor removal with negative margins, preserving laryngeal and swallowing functions, demonstrating TOLES as a viable alternative to traditional microsurgery with enhanced visualization and ergonomics. Laryngoscope, 135:744-747, 2025.

摘要

本文配有技术说明和视频,介绍了一例85岁的cT2N0期喉鳞状细胞癌患者,采用二氧化碳经口激光外视镜手术(TOLES)进行治疗。该手术实现了肿瘤整块切除且切缘阴性,保留了喉部和吞咽功能,表明TOLES作为传统显微手术的一种可行替代方法,具有增强的可视化和人体工程学优势。《喉镜》,第135卷:744 - 747页,2025年。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce0b/11725688/bdb9bacc771b/LARY-135-744-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce0b/11725688/91bd503716a1/LARY-135-744-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce0b/11725688/0feab825ce97/LARY-135-744-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce0b/11725688/bdb9bacc771b/LARY-135-744-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce0b/11725688/91bd503716a1/LARY-135-744-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce0b/11725688/0feab825ce97/LARY-135-744-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce0b/11725688/bdb9bacc771b/LARY-135-744-g001.jpg

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Exoscopic Transoral Supraglottic Laryngectomy.外向型经口声门上喉切除术
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本文引用的文献

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Surgeon's comfort: The ergonomics of a robotic exoscope using a head-mounted display.外科医生的舒适度:使用头戴式显示器的机器人外视镜的人体工程学
Brain Spine. 2021 Dec 28;2:100855. doi: 10.1016/j.bas.2021.100855. eCollection 2022.
2
Is the exoscope ready to replace the operative microscope in transoral surgery?经口手术中,外窥镜是否已准备好取代手术显微镜?
Curr Opin Otolaryngol Head Neck Surg. 2022 Apr 1;30(2):79-86. doi: 10.1097/MOO.0000000000000794.
3
High-Definition 3-D Exoscope for Micro-Laryngeal Surgery: A Preliminary Clinical Experience in 41 Patients.
高清 3D 外窥镜在喉显微手术中的应用:41 例初步临床经验。
Ann Otol Rhinol Laryngol. 2022 Nov;131(11):1261-1266. doi: 10.1177/00034894211063741. Epub 2021 Dec 30.
4
Transoral laser microsurgery: feasibility of a new exoscopic HD-3D system coupled with free beam or fiber laser.经口激光微创手术:新型高清 3D 外窥镜系统结合自由光束或光纤激光的可行性。
Lasers Med Sci. 2021 Dec;36(9):1865-1872. doi: 10.1007/s10103-020-03221-w. Epub 2021 Jan 3.
5
Laser-assisted surgery of the upper aero-digestive tract: a clarification of nomenclature. A consensus statement of the European Laryngological Society.上呼吸道消化道的激光辅助手术:术语澄清。欧洲喉科学会共识声明
Eur Arch Otorhinolaryngol. 2017 Oct;274(10):3723-3727. doi: 10.1007/s00405-017-4708-3. Epub 2017 Aug 17.