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Date Published: 07/12/2023
Abstract Views: 134
Views PDF: 62
DOI: https://doi.org/10.51298/vmj.v532i1B.7509
Issue
Vol. 532 No. 1B (2023)
Section
Các bài báo
How to Cite
Thái, B. M., Nguyễn, Q. T., & Bùi, T. A. (2023). EVALUATE EARLY-COMPLICATIONS OF TRANSORAL LASER MICROSURGERY FOR LARYNGEAL CANCER AT ENT NATIONAL HOSPITAL PERIOD 2012-2012. Vietnam Medical Journal, 532(1B). https://doi.org/10.51298/vmj.v532i1B.7509

EVALUATE EARLY-COMPLICATIONS OF TRANSORAL LASER MICROSURGERY FOR LARYNGEAL CANCER AT ENT NATIONAL HOSPITAL PERIOD 2012-2012

Bá Mạnh Thái1,, Quang Trung Nguyễn1,2, Thế Anh Bùi2
1 HMU
2 Central Ear, Nose and Throat Hospital

Main Article Content

Abstract

Objectives: To evaluate complications of transoral laser microsurgery for laryngeal cancer at early stage. Methods & Materials: Retrospective cohort study of 361 patients with laryngeal cancer who had done TLM at Oncology and head and neck surgery departement, ENT national hospital from January 2012 to December 2021. Results: Complications after surgery: Pneumothorax was the most common complication. Some other complications include: (1.93%), infection (0.83%), postoperative bleeding (0.55%), dyspnea (0.27%). 3.1% patients required tracheostomy. Negative margin ratio (97.7%). Conclusion: TLM is highly effective in treating early-stage laryngeal cancer, avoiding open surgery, most do not require tracheostomy, gentle postoperative period, and few complications. Indicated mainly for tumors of stage T1a, T1b, T2. Surgery deserves an important place in the treatment of early laryngeal cancer.

Article Details

Keywords

: Early-stage laryngeal cancer, transoral laser microsurgery, laser CO2

References

Lê Công Định, Phạm Văn Hữu. Kết quả phẫu thuật cắt dây thanh điều trị ung thư thanh quản tại khoa Tai Mũi Họng - Bệnh viện Bạch Mai. Tạp chí Y học lâm sàng. 2012;69: 36-41.
2. Lê Minh Kỳ, Hoàng Vũ Giang, Nguyễn Tiến Hùng. Nghiên cứu ứng dụng vi phẫu thuật thanh quản laser CO2 trong điều trị ung thư thanh quản giai đoạn sớm. Tai mũi họng Việt Nam. 2014; 1:61-65.
3. Ansarin M, Zabrodsky M, Bianchi L, et al. Endoscopic CO2 laser surgery for early glottic cancer in patients who are candidates for radiotherapy: Results of a prospective nonrandomized study. Head Neck. 2006;28(2):121-125.
4. Chiesa Estomba CM, Reinoso FAB, Velasquez AO, Fernandez JLR, Conde JLF, Hidalgo CS. Complications in CO2 laser transoral microsurgery for larynx carcinomas. Int Arch Otorhinolaryngol. 2016;20(2):151-155.
5. Ellies M, Steiner W. Peri- and postoperative complications after laser surgery of tumors of the upper aerodigestive tract. American Journal of Otolaryngology - Head and Neck Medicine and Surgery. 2007;28(3):168-172.
6. Nocini R, Molteni G, Mattiuzzi C, Lippi G. Updates on larynx cancer epidemiology. Chinese Journal of Cancer Research. 2020;32(1):18-25.
7. Preuss SF, Cramer K, Klussmann JP, Eckel HE, Guntinas-Lichius O. Transoral laser surgery for laryngeal cancer: Outcome, complications and prognostic factors in 275 patients. European Journal of Surgical Oncology. 2009;35(3):235-240.
8. Strong MS, Jako GJ. Laser surgery in the larynx. Early clinical experience with continuous CO 2 laser. Ann Otol Rhinol Laryngol. 1972;81(6):791-798.