RESUMEN
Objective:To compare the effect of closure of pharyngeal cavity with linear stapler and manual suture in total laryngectomy. Method:A retrospective study was conducted on 32 patients who underwent total laryngectomy with linear stapler to close the pharyngeal from December 2014 to March 2019. Among them, 25 patients used closed technique and 7 patients used open technique. At the same time, 23 patients who underwent total laryngectomy with manual suture the pharyngeal by the same operator from January 2010 to December 2014 were collected. The clinical parameters of the two groups were compared and analyzed. Result:Compared with the control group, the closed technical group had no significant difference in terms of gender, diabetes mellitus, second surgery, T stage, and surgical methodï¼P> 0.05ï¼. While the age ï¼63.60 ± 9.46ï¼ years and ï¼54.35 ± 11.13ï¼ years , operation time ï¼239.67 ± 88.43ï¼ min and ï¼474.35 ± 140.16ï¼ min , oral feeding time ï¼12.84 ± 3.65ï¼ min and ï¼17.3 ± 9.71ï¼min , hospitalization days after operation ï¼ 15.48 ± 3.78ï¼ d and ï¼20.22 ± 10.14ï¼ d, incidence of Pharygocutaneous fistula 4.0% ï¼1/25ï¼ and 26.1% ï¼6/23ï¼, had significant statistical differences ï¼P <0.05ï¼ Between two groups; Compared with the control group, the opener group had no statistically significant difference in gender, T stage, oral feeding time, hospitalization days after operationï¼surgical method and incidence of Pharygocutaneous fistula ï¼P> 0.05ï¼ï¼while there was a statistically significant difference in diabetes mellitus, second surgery, and operation time ï¼P<0.05ï¼. Conclusion:The linear stapler closed closure technique can reduce the incidence of Pharygocutaneous fistula, shorten the operation time and oral feeding time, and reduce the length of hospital stay.
