Comparison between stapled and traditional suture closure total laryngectomy / 临床耳鼻咽喉头颈外科杂志

ABSTRACT

OBJECTIVE@#To compare the clinical results between stapled and traditional suture closure total laryngectomy.@*METHOD@#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.@*RESULT@#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).@*CONCLUSION@#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.