성문상부암에서의 경구강 CO 2 레이저 수술과 동시경부청소술

• 영문명: Simultaneous Neck Dissection in Transoral CO 2 Laser Surgery for Supraglottic Cancer
• 발행기관: 대한두경부종양학회
• 저자명: 김성원(Sung Won Kim) 이강대(Kang Dae Lee)
• 간행물 정보: 『대한두경부종양학회지』제25권 제1호, 18~23쪽, 전체 6쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2009.05.30

영문 초록

Objectives ：In CO 2 laser surgery for supraglottic cancer, neck dissection is generally done in second stage. We investigated simultaneous neck dissection with primary resection could be available in laser supraglottic surgery. Material and Methods ：We analyzed 13 patients with supraglottic cancer who were treated with transoral su-praglottic laryngectomy and simultaneous neck dissection from 2001 to 2007. Tumor stage, extent of laser surgery, histological results, survival rate, local control rate, complications, and functional results were reviewed. Results ：5-year local control rate, survival rate and disease specific survival rate from the neck was 100%, 69.9%, 100% respectively. Tracheotomy was done in all 13 cases. One patient had a long tracheotomy indwelling (191 days). In the rest of 12 patients average decanulation time was 7.4 days(1-22 days). Nasogastric tube was inser-ted in 5 cases, and average oral intake was possible in 3.5 days(1-16 days). Average hospital days was 29.7 days. There was no serious complication associated with neck dissection. Conclusion ：Simultaneous neck dissection with primary laser resection for supraglottic cancer is oncologic sound and can be performed without significant surgical morbidity.

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Supraglottic cancer CO2 laser Neck dissection 성문상부암 CO2 레이저 경부청소술