Endoscopic laryngo-pharyngeal surgery for pharyngeal or laryngeal cancer

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  • 当科における内視鏡下咽喉頭手術（ＥＬＰＳ）症例の検討

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Description

We started to use endoscopic laryngo-pharyngeal surgery (ELPS) from June 2007 for pharyngeal and laryngeal superficial carcinomas. Twenty patients treated by ELPS from June 2007 to June 2009 were retrospectively analyzed. The age of the patients was 40-82 (median: 67.4) years old. Nineteen were male and one was female. Eleven of 19 patients who had been suspected of cancer before the operation were pathologically diagnosed as carcinoma in situ or squamous cell carcinoma. Four patients were pathologically diagnosed as dysplasia. The lesions in 17 of the 20 patients were found by gastroenterological endoscopy in the internal medicine department. Only 3 patients were diagnosed by ENT doctors. Almost half of the patients (9 out of 17 cases) were diagnosed by gastroenterological endoscopy during follow-up of stomach or esophageal cancer. In terms of airway management of ELPS, a tracheostomy was done only for the first case; the other 19 cases were extubated on the same day. Only 2 patients could not eat on the day after the operation. The longest period until the patient was able to ingest orally was 13 days. All patients could eat orally within 2 weeks.

Journal

  • Toukeibu Gan

    Toukeibu Gan 35 (4), 389-393, 2009

    Japan Society for Head and Neck Cancer

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