[Experience with radical resection of the larynx in stage III - IV cancer].
Laryngectomy has been performed as first-line treatment in 23 patients with laryngeal cancer stage III-IV. The author has modified the final stage of the surgery: laryngeal defect suturing with a continuous suture and the wound drainage. Two patients were operated on radically. Five-year follow-up covered 3, 3-year one 15 patients. None of them had recurrence or metastases. Healing by first intention was observed in 74% of the patients. It is inferred that laryngectomy is effective as an initial stage of combined treatment of laryngeal cancer stage III-IV. The modification of the surgery final stage reduces the frequency of postoperative complications in the absence of inflammation in the tissues adjacent to tracheostoma.
Rzaev
R M
RM
D004322:Drainage; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011183:Postoperative Complications; D013536:Suture Techniques; D014945:Wound Healing
Opyt polnogo udaleniia gortani pri rake III-IV stadii.