경구강 접근을 통한 CO2 레이저 후두 부분 절제술
Transoral CO2 Laser Resection of Laryngeal Cancer
0
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Abstract
Background and Objectives：Early stages of laryngeal carcinoma are usually treated with three different therapeutic options：partial or total laryngectomy, radiotherapy and transoral endoscopic CO2 laser partial laryngectomy. Combined use of CO2 laserand operating microscope, initially described by Strong and Jako in 1972, has been developed to a variety of procedures by manysurgeons. The aim of this study was to define when laser resection of early stage laryngeal carcinoma is indicated and to comparethe results obtained by laser surgery with other therapeutic options. Materials and Method：A retrospective study of 50patients (glottic carcinoma 41 cases, supraglottic carcinoma 9 cases) treated between May, 1997 and March, 2003 at Departmentof Otolaryngology, Head and Neck Surgery of Kosin Medical College Hospital, was performed. Glottic cancers were treatedwith cordectomy type I to V, according to the classification proposed by the European Laryngological Society in 2000. Supraglotticcancer was treated with partial epiglottectomy, epiglottectomy, supraglottic partial laryngectomy, supraglottic laryngectomy,and extended supraglottic laryngectomy. Results：The overall survival rate at 3 years was 100% for the glottic cancer (Tis, 3；T1a, 27；T1b, 5；T2, 2；rT1a, 3；rT2, 1) and local recurrence was identified in 1 patient, thus local control rate was 97.6%.Overall survival rate at 3 years was 100 % for the supraglottic cancer (T1, 3；T2, 2；T3, 1；rT2, 2；rT3, 1) and local controlrate was 100%. Conclusion：Our results suggest that transoral endoscopic laser resection is a cost-effective procedure with goodoncologic results and has acceptable functional results in early laryngeal carcinoma.
참고문헌 (19)
- Peretti G, "Endoscopic CO2 laser excision for tis", pp.124~31 (2000)
- Assimakopoulos D,, "Highlights in the evolutionof diagnosis and treatment of laryngeal cancer", pp.557~62 (2003)
- Moreau PR, "Treatment of laryngeal carcinoma by laser endoscopicmicrosurgery", pp.1000~6 (2000)
- Davis RK, "Endoscopic laser management of supraglotticcancer", pp.2~11 (1995)
- Eckel HE, "A proposal for a classificationby the Working Committee", pp.227~31 (2000)
- Virtaniemi JA, "Surgical management of irradiation failures in T1-T2 squamouscell carcinoma of the glottic larynx", pp.4185~8 (2001)
- Thomas JV, "Recurrencesafter endoscopic management of early", glottic carci(ma), pp.1099~104
- Laccourreye O, "Complications and functional outcome after supracricoid partiallaryngectomy with cricohyoidoepiglottopexy", pp.124~9
- Minni A, "Supracricoid laryngectomy with cricohyoidopexy in the treatment of laryngeal cancer", pp.1108~14, Vincentiis M
- Lee HH, "TreatmentResults and Voice Analysis after Laser Cordectomy for Glottic T1Cancer", pp.805~10 (2002)
- Zink I, "Voice quality afternarrow-margin laser cordectomy compared with laryngeal irradiation", pp.528~33 (1999)
- Yang JS, "Analysis onthe Treatment Outcome of Early Glottic Cancer", pp.151~5 (2003)
- Gallo A, "CO2 laser cordectomy for early-stage glottic carcinoma Along-term follow-up of 156 cases", pp.370~4 (2002), de Vincentiis M
- Motta G, "Fifteen years experience with CO2 laser", pp.155~9 (1997)
- Steiner W, "Results of curative laser microsurgery of laryngeal carcinomas", pp.116~21
- "Technique and results of transoral laser surgery of supraglotticcarcinomas", pp.227~30 (1995)
- Leon X, "Initial treatment of the early stages", pp.512~6 (2000)
- Werner JA, "Endoscopic resections of glottic and supraglotticcarcinomas with the CO2 laser", pp.146~8 (1995)
- Bumber Z, "Videofluoroscopyof the swallowing act after partial supraglottic laryngectomyby CO2 laser", pp.399~403 (2002)