title: [Mechanical sutures of the pharynx during total laryngectomy: proposal of a closed technique].
abstract: The authors present the results of a pharyngeal autosuture technique using a 55 mm linear stapler during total laryngectomy. The stapler is inserted before the larynx has been removed, but after it has been separated from its muscular and neuro-vascular connections and after it has been adequately elevated so that no part remains within the instrument jaws. This "closed" procedure is quite rapid, does not soil the operating field and is safe in the long run. The patient does not require a feeding tube since he can swallow from the third day after surgery. None of the patients treated with this technique produced either early or late fistulas, nor did they encounter any trouble in swallowing.
authors.affiliation: Istituto di Clinica Otorinolaringoiatrica dell'Università di Perugia.
authors.forename: C
authors.initials: C
authors.lastname: Simoncelli
authors.forename: G
authors.initials: G
authors.lastname: Altissimi
mesh_terms: D006801:Humans; D007825:Laryngectomy; D010614:Pharynx / Q000601:surgery*; D011183:Postoperative Complications; D013528:Surgical Staplers
vernacular_title: Sutura meccanica della faringe in corso di laringectomia totale: proposta di una tecnica chiusa.