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Á¢¼ö¹øÈ£ - 270327 4 |
ROBOTIC LARYNGECTOMY (PARTIAL LARYNGECTOMY AND TOTAL
LARYNGECTOMY) COMBINED WITH/WITHOUT NECK DISSECTION VIA EXTENDED
TRACHEOSTOMY INCISION: TWO YEARS EXPERIENCE |
DEPARTMENT OF OTORHINOLARYNGOLOGY, YONSEI UNIVERSITY COLLEGE OF MEDICINE, SEOUL, KOREA |
NAM SUK SIM, DA HEE KIM, YOUNG MIN PARK, JAE YOL LIM, EUN CHANG CHOI, YOON WOO KOH |
¸ñÀû: As da Vinci robotic system applied for the patients with laryngeal
and hypopharyngeal cancer, the strategy of the conventional
treatment method was also changed. Here, we described our early
experience of the robotic laryngectomy via extended tracheostomy
incision. ¹æ¹ý:From April 2019 to August 2021, total 22 patients had undergone
robotic laryngectomy (partial total) via single transverse
tracheostomy incision °á°ú:Average length of single transverse tracheostomy incision was 6.09 centimeters. Seven patients underwent robotic partial laryngectomy, and fifteen patients underwent robotic total laryngectomy. Among partial laryngectomy, six patients underwent robotic SCL-CHEP and one patient underwent robotic SCL-CHP. Six patients were successfully decannulated and one patient had stoma retainer. All patients were able to take oral diet. Three cases were combined with neck dissection. Among total laryngectomy, we had five cases of total laryngectomy alone (one case combined with both SND), three cases of total laryngo-pharyngectomy (two cases combined with neck dissection), and seven cases of total laryngectomy and partial pharyngectomy (five cases combined with neck dissection). In fifteen cases of total laryngectomy, the fistula rate was unremarkable. °á·Ð:We performed total laryngectomy, partial laryngectomy and even
combined with neck dissection effectively using da Vinci robotic
system via extended tracheostomy incision. |
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