title: Using a linear stapler for pharyngeal closure in total laryngectomy.
abstract: This study aimed to evaluate the value of using a linear stapler device in total laryngectomy using a prospective study. Twenty-one total laryngectomies were performed from August 2010 to April 2012, using TA-60 linear stapler for pharyngeal closure. Data collected included age, sex, staging, surgical margins and postoperative course (including complications and swallowing). Patients comprised twenty men and one woman. The mean age was 64 years. Two patients underwent preoperative radiotherapy. Four patients recurred after radiotherapy. Fifteen patients were untreated. Negative surgical margins were achieved in all patients. One patient developed slight pharyngocutaneous fistula. Patients resumed oral intake at 7 days. The mean hospital stay was 10 days. Using a linear stapler to close laryngopharyngeal cavity in total laryngectomy is simple, reliable and practical, avoids pollution of surgical area, saves operation time and decreases the incidence of pharyngocutaneous fistula. It is worthy of clinical application for selected cases.
authors.affiliation: State Key Laboratory of Oncology in South China, Department of Head and Neck Surgery, Cancer Center of Sun Yat-Sen University, Guangzhou, 510060 Guangdong, People's Republic of China.
authors.forename: Xinrui
authors.initials: X
authors.lastname: Zhang
authors.forename: Zhimin
authors.initials: Z
authors.lastname: Liu
authors.forename: Quan
authors.initials: Q
authors.lastname: Li
authors.forename: Xuekui
authors.initials: X
authors.lastname: Liu
authors.forename: Hao
authors.initials: H
authors.lastname: Li
authors.forename: Weiwei
authors.initials: W
authors.lastname: Liu
authors.forename: Qiuli
authors.initials: Q
authors.lastname: Li
authors.forename: Zhuming
authors.initials: Z
authors.lastname: Guo
authors.forename: Zongyuan
authors.initials: Z
authors.lastname: Zeng
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002681:China; D017577:Cutaneous Fistula / Q000517:prevention & control; D005260:Female; D005402:Fistula / Q000517:prevention & control; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010608:Pharyngeal Diseases / Q000517:prevention & control; D010614:Pharynx / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control; D011446:Prospective Studies; D013528:Surgical Staplers