Videolaryngoscopic Transoral En Bloc Resection of Supraglottic and Hypopharyngeal Cancers Using Laparoscopic Surgical Instruments
Abstract
Objectives:
We assessed the outcome of en bloc transoral resection of supraglottic and hypopharyngeal cancer using a distending laryngoscope with rigid videoendoscopic and laparoscopic surgical instruments.
Methods:
We enrolled 30 patients with T1, T2, or selected T3 supraglottic and hypopharyngeal cancer in the study; 9 patients had undergone radiotherapy. Neck dissections were performed for node-positive patients. Postoperative radiotherapy was administered to patients with multiple lymph node metastases or positive surgical margins.
Results:
This surgical environment provided a wide view of the operative field, facilitating bimanual manipulation of laparoscopic surgical instruments, and enabled us to perform en bloc transoral resection. In 21 cases with a minimum follow-up period of 1 year (average, 33 months; range, 15 to 56 months), the 3-year disease-specific survival rate and the laryngeal preservation rate were each 95%. Normal food intake was eventually possible in all cases. Tracheostomy was performed for 2 patients as a prophylactic measure and for 1 patient because of a postoperative hemorrhage.
Conclusions:
These results indicate that videolaryngoscopic transoral en bloc resection using laparoscopic surgical instruments can be one of the minimally invasive treatment options for supraglottic and hypopharyngeal cancers with satisfactory oncological outcome and postoperative laryngeal function.
Get full access to this article
View all access and purchase options for this article.
References
1. Steiner W, Ambrosch P. Endoscopic laser surgery of the upper aerodigestive tract. New York, NY: Thieme, 2000:33–115.
2. Ambrosch P, Kron M, Steiner W. Carbon dioxide laser microsurgery for early supraglottic carcinoma. Ann Otol Rhinol Laryngol 1998;107:680–8.
3. Martin A, Jäckel MC, Christiansen H, Mahmoodzada M, Kron M, Steiner W. Organ preserving transoral laser microsurgery for cancer of the hypopharynx. Laryngoscope 2008;118:398–402.
4. Iro H, Waldfahrer F, Altendorf-Hofmann A, Weidenbecher M, Sauer R, Steiner W. Transoral laser surgery of supraglottic cancer: Follow-up of 141 patients. Arch Otolaryngol Head Neck Surg 1998;124:1245–50.
5. Shiotani A. Transoral surgery for laryngeal and hypopharyngeal cancer [in Japanese]. Pract Otol 2008;101:68–9.
6. Zeitels SM, Koufman JA, Davis RK, Vaughan CW. Endoscopic treatment of supraglottic and hypopharynx cancer. Laryngoscope 1994;104:71–8.
7. Vilaseca I, Blanch JL, Bernal-Sprekelsen M, Moragas M. CO2 laser surgery: A larynx preservation alternative for selected hypopharyngeal carcinomas. Head Neck 2004;26:953–9.
8. Weinstein GS, O'Malley BW Jr, Snyder W, Hockstein NG. Transoral robotic surgery: Supraglottic partial laryngectomy. Ann Otol Rhinol Laryngol 2007;116:19–23.
9. Boudreaux BA, Rosenthal EL, Magnuson JS, et al. Robot-assisted surgery for upper aerodigestive tract neoplasms. Arch Otolaryngol Head Neck Surg 2009;135:397–401.
10. Sasaki CT, Leder SB, Acton LM, Maune S. Comparison of the glottic closure reflex in traditional “open” versus endoscopic laser supraglottic laryngectomy. Ann Otol Rhinol Laryngol 2006;115:93–6.
Cite article
Cite article
Cite article
OR
Download to reference manager
If you have citation software installed, you can download article citation data to the citation manager of your choice
Information, rights and permissions
Information
Published In
Article first published online: April 1, 2010
Issue published: April 2010
Keywords
PubMed: 20433020
Authors
Metrics and citations
Metrics
Journals metrics
This article was published in Annals of Otology, Rhinology & Laryngology.
VIEW ALL JOURNAL METRICSArticle usage*
Total views and downloads: 78
*Article usage tracking started in December 2016
Articles citing this one
Receive email alerts when this article is cited
Web of Science: 61 view articles Opens in new tab
Crossref: 110
- 喉頭部分切除術の適応と実際
- Safety and outcome of three‐dimensional transoral videolaryngoscopic s...
- Local recurrence and metachronous multiple cancers after transoral non...
- A Case of Oropharyngeal Carcinoma with an Oblique Neck that Benefited ...
- Feasibility of Prototype of Curved Clip Forceps for Endoscopic Laryngo...
- Transoral robotic surgery (TORS) in Japan: procedures, advantages and ...
- HPV Infection in Squamous Cell Carcinoma of the Hypopharynx, Larynx, a...
- Risk factors for adverse events associated with endoscopic submucosal ...
- Clinical Management of Early-Stage Hypopharyngeal Squamous Cell Carcin...
- Evaluation of chronological changes in videofluorographic findings aft...
- Long‐Term Outcomes of End‐Flexible‐Rigidsc...
- In Reference to Transoral Robotic Surgery for Cancer of the Soft Palat...
- Surgical treatment and prognosis of posteriorly invading oral cancer: ...
- 中咽頭がんに対する経口的切除
- Clinical Analysis of the Treatment Outcomes of Oropharyngeal Cancer
- Clinical Investigation of Hypopharyngeal Squamous Cell Carcinoma Along...
- 頭頸部癌診療 : 昔の常識・今の常識
- Quality of Survival(QOS) のための内視鏡診断と低侵襲手術
- Transoral Robotic Surgery for Laryngopharyngeal Cancer
- Oncological and Functional Outcomes of Transoral Robotic Surgery and E...
- Primary Closure With Posteriorly Based Lateral Tongue Flap Reconstruct...
- Functional Outcomes After Transoral Surgery in Patients with Pharyngea...
- Current Status of Transoral Surgery for Patients With Early-Stage Phar...
- Validation of the risk factors for primary control of early T-stage la...
- Transoral Videolaryngoscopic Surgery (TOVS)
- Transoral Videolaryngoscopic Surgery for Pharyngeal Stenosis: Two Case...
- Treatment outcomes of transoral robotic and non-robotic surgeries to t...
- Transoral surgery for superficial head and neck cancer: National Multi...
- National Survey of Surgical Duration for Neck Dissection with or witho...
- Transoral videolaryngoscopic surgery （TOVS） for the parapharyngeal spa...
- Scar contracture prevention with local steroid injections in transoral...
- Effectiveness of planned surveillance for detecting second primary hea...
- Endoscopic laryngopharyngeal surgery for hypopharyngeal lesions
- 内視鏡下経口的咽喉頭部分切除術 (transoral videolaryngoscopic surgery: TOVS) の現状と展望
- Feasibility of Prototype Curved Forceps for Endoscopic Laryngo-pharyng...
- Minimally Invasive Surgery for Laryngopharyngeal Diseases
- Transoral videolaryngoscopic surgery for laryngeal and hypopharyngeal ...
- Comparative Study between Transoral Laser Microsurgery and Transoral V...
- Prediction of lymph-node metastasis and lymphatic invasion of superfic...
- Minimally invasive surgery for laryngopharyngeal cancer: Multicenter f...
- Transoral endoscopic surgical approach to venous malformation of the p...
- Follicular Dendritic Cell Sarcoma of tonsil treated by Transoral Video...
- A case of severe delayed hemorrhage after salvage transoral surgery fo...
- Larynx preservation therapy of transoral laser microsurgery for hypoph...
- Transoral Surgery for Laryngeal Cancer
- A prospective clinical trial of the second‐look procedure for transora...
- Value of transoral surgery for human papillomavirus-mediated oropharyn...
- Transoral robotic surgery in patients with stage III/IV hypopharyngeal...
- Sentinel Lymph Node–Targeted Therapy by Oncolytic Sendai Virus Suppres...
- TransOral Endoscopic Surgery for Posterior Palate: A novel approach fo...
- 中・下咽頭癌に対する経口的治療
- Clinical outcomes of end-flexible-rigidscopic transoral surgery (E-TOS...
- Preoperative predictors of difficult hypopharyngeal exposure by retrac...
- Two-stage trans oral excision for bilateral multiple pyriform recess s...
- Transoral videolaryngoscopic surgery （TOVS） for hypopharyngeal cancer
- Transoral surgery (TOS) in oropharyngeal cancer: Different tools, a si...
- Transoral Videolaryngoscopic Surgery for Laryngeal and Pharyngeal Canc...
- Combined transoral–transhyoid endoscopic approach for hypopharyngeal c...
- Quality of Life and Swallowing Function Assessment before and after Tr...
- 経口的咽喉頭手術 (内視鏡診療科との連携)
- Endoscopic sentinel lymph node biopsy using indocyanine green‐neomanno...
- Dysphagia After Hypopharyngeal Surgery
- Prevention of pharyngeal stenosis by local injection of triamcinolone ...
- Transoral Videolaryngoscopic Surgery （TOVS） for Lingual thyroglossal d...
- Clinical outcomes of transoral videolaryngoscopic surgery for hypophar...
- Salvage Transoral Videolaryngoscopic Surgery for radiorecurrent hypoph...
- Clinical features and treatment outcomes of Japanese head and neck can...
- Vocal function after transoral videolaryngoscopic surgery (TOVS) for h...
- Avoidance of postoperative irradiation for cervical lymph node metasta...
- The Second-Look Procedure for Transoral Videolaryngoscopic Surgery for...
- Treatment De-intensification for Oropharyngeal Cancer
- ELPS technique performed only by the head and neck surgeon
- Clinical application of new grasping forceps and malleable bipolar for...
- Tumor Markers in Head and Neck Cancer
- How to transoral surgery
- Serum midkine as a biomarker for malignancy, prognosis, and chemosensi...
- Risk factors for dysphagia after transoral videolaryngoscopic surgery ...
- Transoral surgery for laryngo-pharyngeal cancer – The paradigm shift o...
- Use of a Rigid Curved Laryngoscope for Removal of a Fish Bone in the H...
- TransOral endoscopic UltraSonic Surgery (TOUSS): a preliminary report ...
- Endoscopic submucosal dissection as minimally invasive treatment for s...
- Definitive radiotherapy for early-stage hypopharyngeal squamous cell c...
- Minimally invasive surgery for pyriform sinus fistula by transoral vid...
- Minimal Invasive Transoral Endoscopic Surgeries in Bronchoesophagology
- Transoral Videolaryngoscopic Surgery (TOVS)
- Robotic Surgery for Pharynx and Larynx
- Transoral Videolaryngoscopic Surgery (TOVS)
- Retrospective Study of Laryngeal Preservation Treatment for Hypopharyn...
- Novel Indocyanine Green–Phytate Colloid Technique for Sentinel Node De...
- Transoral videolaryngoscopic surgery for oropharyngeal, hypopharyngeal...
- Transoral Videolaryngoscopic Surgery with a Navigation System for Exci...
- 2 Cases of Arytenoid Cartilage Dislocation
- Transoral en bloc resection of superficial laryngeal and pharyngeal ca...
- Transoral videolaryngoscopic surgery for oropharyngeal, hypopharyngeal...
- Technical refinements in transoral partial pharyngolaryngectomy (trans...
- Treatment outcomes for oropharyngeal squamous cell carcinoma and the i...
- Transoral Videolaryngoscopic Surgery (TOVS) for neoplastic lesions of ...
- Transoral Videolaryngoscopic Surgery for Laryngeal and Hypopharyngeal ...
- A Case of Typical Carcinoid of the Larynx
- Transoral Surgery for Laryngeal Cancer
- Endoscopic transoral oropharyngectomy using laparoscopic surgical inst...
- Transoral Videolaryngoscopic Surgery for En Bloc Resection of Supraglo...
- Tumor Depth as a Predictor of Lymph Node Metastasis of Supraglottic an...
- Transoral Videolaryngoscopic Surgery (TOVS) for Laryngeal and Pharynge...
- Transoral partial resection of the supraglottic laryngeal cancer
- Transoral Partial Laryngopharyngectomy for Supraglottic and Hypopharyn...
Figures and tables
Figures & Media
Tables
View Options
Get access
Access options
If you have access to journal content via a personal subscription, university, library, employer or society, select from the options below:
loading institutional access options
Alternatively, view purchase options below:
Purchase 24 hour online access to view and download content.
Access journal content via a DeepDyve subscription or find out more about this option.
