跳至主要内容

Linear Stapler in Total Laryngectomy

Read full paper at:
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=51551#.VG2pkWfHRK0

Introduction: Stapler application for pharyngeal closure after total laryngectomy allows rapid watertight closure. We intend to report the experience of the Portuguese Oncology Institute of Lisbon, Francisco Gentil (IPOLFG). Material and Methods: Retrospective study of patients submitted to total laryngectomy using linear stapler device treated in IPOLFG from 2005 to 2010. Results: 108 patients were studied. The majority of patients were male, aged from 60 to 69 years old, and had smoking and alcohol habits. The average length of hospital stay was 13.1 days. Post-operative complications occurred as follows: wound infection in 6.5%, cervical hematoma in 4.6% and pharyngocutaneous fistula in 11.1% of cases. Conclusions: The mechanical suture of the pharynx in total laryngectomy is a simple and quick method. It does not increase the incidence of post-operative complications. It seems to be a very safe method, as long as its limits regarding the location and extent of tumour are respected.
Cite this paper
Durao, C. , Motta, S. , Hebe, A. , Pacheco, R. , Montalvão, P. and Magalhães, M. (2014) Linear Stapler in Total Laryngectomy. International Journal of Otolaryngology and Head & Neck Surgery, 3, 354-358. doi: 10.4236/ijohns.2014.36063. 
 

[1] Stell, P.M. (1975) The First Laryngectomy. The Journal of Laryngology and Otology, 89, 353-358.
http://dx.doi.org/10.1017/S0022215100080488
[2] Bedrin, L., Ginsburg, G., Horowitz, Z. and Talmi, Y.P. (2005) 25-Year Experience of Using a Linear Stapler in Laryngectomy. Head & Neck, 27, 1073-1079.
http://dx.doi.org/10.1007/s00405-009-0945-4
[3] Estibeiro, H. (2004) Total Laryngectomy, Surgery of the Larynx. N.P. Circulo Médico, 123-135.
[4] Gonçalves, A.J., Souza Jr., J.A., Menezes, M.B., Kavabata, N.K., et al. (2009) Pharyngocutaneous Fistulae Following Total Laryngectomy Comparison between Manual and Mechanical Sutures. European Archives of Oto-Rhino-Laryngology, 266, 1793-1798.
http://dx.doi.org/10.1007/s00405-009-0945-4
[5] Sofferman, R.A. and Voronetsky, I. (2000) Use of the Linear Stapler for Pharyngoesophageal Closure after Total Laryngectomy. The Laryn-goscope, 110, 1406-1409.
http://dx.doi.org/10.1097/00005537-200008000-00035
[6] Montoya, F., Ruiz de Galarreta, J.C., Sánchez del Rey, A., Martínez Ibargüen, A., et al. (2002) Comparative Study between the Use of Manual versus Mechanical Sutures in the Closing of the Mucous Defect Following a Total Laryngectomy. Acta Otorrinolaringológica Española, 53, 343-350.
[7] Altissimi, G. and Frenguelli, A. (2007) Linear Stapler Closure of the Pharynx during Total Laryngectomy: A 15-Year Experience (from Closed Technique to Semi-Closed Technique). Acta Otorhinolaryngologica Itálica, 27, 118-122.
[8] Agrawal, A. and Schuller, E. (2000) Closed Laryngectomy Using the Automatic Linear Stapling Device. The Laryngoscope, 110, 1402-1405.
http://dx.doi.org/10.1097/00005537-200008000-00034            eww141120lx
[9] Ahumada, N., Oliveira, C. and Takimoto, R. (2011) Stapler Device at the Closure of the Pharynx after Total Laryngectomy: 7 Years of Experience. Revista Brasileira de Cirurgia da Cabeça e Pescoço, 40, 144-147.
标签：

评论

发表评论

此博客中的热门博文

A Comparison of Methods Used to Determine the Oleic/Linoleic Acid Ratio in Cultivated Peanut (Arachis hypogaea L.)

Cultivated peanut ( Arachis hypogaea L.) is an important oil and food crop. It is also a cheap source of protein, a good source of essential vitamins and minerals, and a component of many food products. The fatty acid composition of peanuts has become increasingly important with the realization that oleic acid content significantly affects the development of rancidity. And oil content of peanuts significantly affects flavor and shelf-life. Early generation screening of breeding lines for high oleic acid content greatly increases the efficiency of developing new peanut varieties. The objective of this study was to compare the accuracy of methods used to classify individual peanut seed as high oleic or not high oleic. Three hundred and seventy-four (374) seeds, spanning twenty-three (23) genotypes varying in oil composition (i.e. high oleic (H) or normal/not high oleic (NH) inclusive of all four peanut market-types (runner, Spanish, Valencia and Virginia), were individually tested ...
发表评论
阅读全文

Location Optimization of a Coal Power Plant to Balance Costs against Plant’s Emission Exposure

Fuel and its delivery cost comprise the biggest expense in coal power plant operations. Delivery of electricity from generation to consumers requires investment in power lines and transmission grids. Placing a coal power plant or multiple power plants near dense population centers can lower transmission costs. If a coalmine is nearby, transportation costs can also be reduced. However, emissions from coal plants play a key role in worsening health crises in many countries. And coal upon combustion produces CO 2 , SO 2 , NO x , CO, Metallic and Particle Matter (PM10 & PM2.5). The presence of these chemical compounds in the atmosphere in close vicinity to humans, livestock, and agriculture carries detrimental health consequences. The goal of the research was to develop a methodology to minimize the public’s exposure to harmful emissions from coal power plants while maintaining minimal operational costs related to electric distribution losses and coal logistics. The objective was...
发表评论
阅读全文

Evaluation of the Safety and Efficacy of Continuous Use of a Home-Use High-Frequency Facial Treatment Appliance

At present, many home-use beauty devices are available in the market. In particular, many products developed for facial treatment use light, e.g., a flash lamp or a light-emitting diode (LED). In this study, the safety of 4 weeks’ continuous use of NEWA TM , a high-frequency facial treatment appliance, every alternate day at home was verified, and its efficacy was evaluated in Japanese individuals with healthy skin aged 30 years or older who complained of sagging of the facial skin.  Transepidermal water loss (TEWL), melanin levels, erythema levels, sebum secretion levels, skin color changes and wrinkle improvement in the facial skin were measured before the appliance began to be used (study baseline), at 2 and 4 weeks after it had begun to be used, and at 2 weeks after completion of the 4-week treatment period (6 weeks from the study baseline). In addition, data obtained by subjective evaluation by the subjects themselves on a visual analog scale (VAS) were also analyzed. Fur...
发表评论
阅读全文