論文

査読有り 国際誌
2020年3月

Endoscopic Transoral Hybrid Supracricoid Partial Laryngectomy with Cricohyoidoepiglottopexy.

The Annals of otology, rhinology, and laryngology
  • Meijin Nakayama
  • ,
  • Ryan K Orosco
  • ,
  • F Christopher Holsinger
  • ,
  • Giuseppe Spriano
  • ,
  • Giovanni Succo
  • ,
  • Armando De Virgilio
  • ,
  • Nobuhiko Oridate

129
3
開始ページ
273
終了ページ
279
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1177/0003489419885139

OBJECTIVES: The hybrid supracricoid partial laryngectomy with cricohyoidoepiglottopexy (SCPL-CHEP, that is, open partial horizontal laryngectomies OPHL Type IIa) has been described using a flexible next generation robotic surgical platform for manipulation. We sought to evaluate the feasibility of performing this procedure using endoscopic transoral (EndoT) surgical techniques without robotics. METHODS: Preclinical cadaveric study using two human cadavers. Hybrid SCPL-CHEP was performed with a flexible endoscope for visualization and hand-held instruments for manipulation (SILS Hook monopolar and Dissect, HAVAS LaryngoFIT malleable straight jaw instruments, and Stratafix 4-0 spiral knotless barbed suture). RESULTS: EndoT hybrid SCPL-CHEP was successfully performed. The hand-manipulated rigid instruments allowed for transoral incisions and mucosal suturing. We provide the procedural steps of EndoT hybrid techniques. CONCLUSIONS: EndoT hybrid SCPL-CHEP was technically feasible in the preclinical cadaveric laboratory setting and appeared comparable to the hybrid SCPL-CHEP via transoral robotic surgery (TORS). Selected handheld instruments and flexible endoscopy appear to facilitate minimally invasive surgery of the larynx. This novel procedure and technique warrant further clinical study for consideration of feasibility, applicability, and patient benefit.

リンク情報
DOI
https://doi.org/10.1177/0003489419885139
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31672022
ID情報
  • DOI : 10.1177/0003489419885139
  • ISSN : 0003-4894
  • PubMed ID : 31672022

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