title: [Comparison between stapled and traditional suture closure total laryngectomy].
abstract: OBJECTIVE
  To compare the clinical results between stapled and traditional suture closure total laryngectomy.
  
  
  METHODS
  Fifty-three cases of laryngeal cancer with total laryngectomy were divided into 2 groups: 32 cases with traditional suture closure total laryngectomy (group A) and 21 cases with stapled total laryngectomy group (group B). Compare two groups in pharyngeal fistula, postoperative bleeding, dysphagia, and nasal regurgitation.
  
  
  RESULTS
  There was no difference of postoperative pharyngeal fistula between group A and B (P>0. 05). The incidence of dysphagia, nasal regurgitation, and postoperative bleeding in group B were 23. 8%, 14. 3% and 14. 3% respectively, which were obviously higher than that in group A (P<0. 05).
  
  
  CONCLUSIONS
  Stapled total laryngectomy has the advantages of reducing the operative time and simplifying the operation with some disadvantages such as higher standards of operation indications, higher incidence of dysphagia, higher nasal regurgitation, higher postoperative bleeding, and poor medical economic profit. Traditional suture closure total laryngectomy is recommended in clinical practice.
authors.forename: Liang
authors.initials: L
authors.lastname: Wang
authors.forename: Weiwei
authors.initials: W
authors.lastname: Wang
authors.forename: Weihua
authors.initials: W
authors.lastname: Lou
mesh_terms: D003680:Deglutition Disorders; D005402:Fistula / Q000473:pathology; D006801:Humans; D015994:Incidence; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D010614:Pharynx / Q000473:pathology; D011183:Postoperative Complications; D013536:Suture Techniques; D013537:Sutures