title: [Analysis of the causes of failure in surgical treatment of cancer of the larynx].
abstract: In the years 1985-1990 within the group of 2769 patients operated upon for laryngeal cancer in four medical centres (Kraków, Poznań, Warszawa, Lublin), a clinical analysis on surgical treatment failures was performed. The most significant reasons of failures were: the highly advanced age of patients, coexistent diseases, in particular the cardiopulmonary disease; poor information of neoplastic diseases (carcinomas) and delayed referral to the doctor; lack of consent for surgical treatment; old fashioned diagnostic methods; prolonged period of making diagnosis; increasing number of patients with supra-glottic localization including the hypo-pharynx and piriform recess; a considerable degree of organ ++cancer advancement and substantial clinical advancement; not radical excision of neck glands; intra-surgical blood transfusion; micrometastases to lymphatic glands; immunity collapse; discontinuance of post-surgical radiation on affected parts; lack of lymphadenectomy backward from accessory nerve ; massive cancer metastases to lymph nodes; high histologic malignancy with characteristic carcinous invasiveness; and finally, surgical and post-surgical early and late complications ranginy within our material from 25% to 29% of surgical patients. Basing on the above mentioned analysis, the authors developed indications for surgical treatment of laryngeal cancer.
authors.affiliation: Kliniki Otolaryngologicznej AM w Krakowie.
authors.forename: B
authors.initials: B
authors.lastname: Semczuk
authors.forename: J
authors.initials: J
authors.lastname: Sekuła
authors.forename: Z
authors.initials: Z
authors.lastname: Szmeja
authors.forename: G
authors.initials: G
authors.lastname: Janczewski
authors.forename: A
authors.initials: A
authors.lastname: Kruk-Zagajewska
authors.forename: E
authors.initials: E
authors.lastname: Olszewski
authors.forename: G
authors.initials: G
authors.lastname: Niedzielska
authors.forename: A
authors.initials: A
authors.lastname: Horoch
authors.forename: E
authors.initials: E
authors.lastname: Osuch-Wójcikiewicz
authors.forename: A
authors.initials: A
authors.lastname: Sieradzki
mesh_terms: D000367:Age Factors; D000368:Aged; D003951:Diagnostic Errors; D006801:Humans; D007822:Laryngeal Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy / Q000009:adverse effects* / Q000401:mortality; D008207:Lymphatic Metastasis; D008875:Middle Aged; D009367:Neoplasm Staging; D013997:Time Factors
vernacular_title: Analiza przyczyn niepowodzeń leczenia operacyjnego chorych na raka krtani.