title: [Organ-sparing surgery in laryngeal cancer].
abstract: Basing on their experience with sparing surgery in combined treatment of pharyngeal carcinoma, the authors have developed a method for specification of the diagnosis before treatment and in the course of surgical intervention. Preoperative gamma-beam therapeutic scheme has been improved: long-distance irradiation is carried out under hyperbaric oxygenation with medium-fractionated doses and the total dose is reduced to 23.1 Gy, the intervals between the irradiation and surgery being 7-10 days. In order to improve the functional efficacy of economic radical surgery, methods of sparing surgery for Stages III-IV pharyngeal carcinoma were developed. Favorable functional and 3-year results were achieved in 314 patients with pharyngeal carcinoma, treated according to a multiple-modality scheme, including economic surgery as its second stage.
authors.forename: P G
authors.initials: PG
authors.lastname: Bitiutskiĭ
authors.forename: V O
authors.initials: VO
authors.lastname: Ol'shanskiĭ
authors.forename: S L
authors.initials: SL
authors.lastname: Dar'ialova
authors.forename: E I
authors.initials: EI
authors.lastname: Trofimov
mesh_terms: D000328:Adult; D000368:Aged; D006801:Humans; D006931:Hyperbaric Oxygenation; D007822:Laryngeal Neoplasms / Q000534:rehabilitation / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D007830:Larynx / Q000528:radiation effects / Q000601:surgery*; D007831:Larynx, Artificial; D008875:Middle Aged; D011300:Preoperative Care; D011879:Radiotherapy Dosage
vernacular_title: Ekonomnye operatsii pri rake gortani.