[环状软骨上部分喉切除术扩展至环状软骨前弓并进行气管-环状软骨-舌骨-会厌固定术。肿瘤学及功能结果]

[Supra-cricoid partial laryngectomy extended to the anterior arch of the cricoid with tracheo-crico-hyoido-epiglottopexy. Oncologic and functional results].

作者信息

Laccourreye O, Brasnu D, Jouffre V, Couloigner V, Naudo P, Laccourreye H

机构信息

Service d'Oto-Rhino-Laryngologie et de Chirurgie Cervico-faciale, Université Paris V, France.

出版信息

Ann Otolaryngol Chir Cervicofac. 1996;113(1):15-9.

PMID:8763770

Abstract

21 patients with glottic carcinoma presenting anterior infraglottic extent of tumor, classified T2-T4, were offered and extended supracricoid partial laryngectomy with tracheocricohyoidoepiglottopexy (TCHEP) between 1979 and 1994 at our department. The technique for the procedure, the duration of tracheotomy tube, naso-gastric feeding tube, and hospital stay are presented. Postoperative complications and management were described. The 5-year actuarial survival, local control, nodal recurrence, distant metastasis, and metachroneous second primary tumor estimate was 74.7%, 88.9%, 11.1%, 22.4% and 15%, respectively. Overall a 95.2% (20/21) local control rate was achieved with a 90.5% (19/21) laryngeal preservation rate.

摘要

1979年至1994年期间，我科为21例声门癌伴声门下肿瘤前界侵犯的患者（T2-T4分类）施行了扩大的环状软骨上部分喉切除术加气管环状软骨舌骨会厌固定术（TCHEP）。本文介绍了该手术的技术、气管切开管、鼻饲管的留置时间及住院时间，并描述了术后并发症及处理情况。5年精算生存率、局部控制率、淋巴结复发率、远处转移率及异时性第二原发肿瘤估计分别为74.7%、88.9%、11.1%、22.4%和15%。总体而言，局部控制率为95.2%（20/21），喉保留率为90.5%（19/21）。