Rzaev R M
Vestn Otorinolaringol. 1993 Sep-Dec(5-6):36-9.
Laryngectomy has been performed as first-line treatment in 23 patients with laryngeal cancer stage III-IV. The author has modified the final stage of the surgery: laryngeal defect suturing with a continuous suture and the wound drainage. Two patients were operated on radically. Five-year follow-up covered 3, 3-year one 15 patients. None of them had recurrence or metastases. Healing by first intention was observed in 74% of the patients. It is inferred that laryngectomy is effective as an initial stage of combined treatment of laryngeal cancer stage III-IV. The modification of the surgery final stage reduces the frequency of postoperative complications in the absence of inflammation in the tissues adjacent to tracheostoma.
对23例III-IV期喉癌患者实施了喉切除术作为一线治疗。作者对手术的最后阶段进行了改良：采用连续缝合进行喉缺损缝合及伤口引流。2例患者接受了根治性手术。5年随访涵盖3例患者，3年随访涵盖15例患者。他们均无复发或转移。74%的患者实现一期愈合。据推断，喉切除术作为III-IV期喉癌综合治疗的初始阶段是有效的。手术最后阶段的改良在气管造口旁组织无炎症的情况下降低了术后并发症的发生率。
