Transoral CO2 laser microsurgery: Analysis of the management of laryngeal cancer in Hospital de Egas Moniz

Detalhes bibliográficos
Autor(a) principal: Gilberto, Nelson
Data de Publicação: 2018
Outros Autores: Almeida, Gustavo, Sousa, Pedro Machado, Escada, Pedro Alberto
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
DOI: 10.34631/sporl.672
Texto Completo: https://doi.org/10.34631/sporl.672
Resumo: Objectives: Describe surgical results of transoral CO2 LASER Microsurgery for laryngeal cancer. Material and methods: Retrospective analysis of 29 patients with oropharyngeal and laryngeal cancer submitted to transoral LASER microsurgery between 2009 and 2015 in the Hospital de Egas Moniz. Results: Two patients had oropharyngeal cancer and 29 laryngeal cancer. The tumors were classified in Tis (2 cases), T1 (17 cases) and T2 (10 cases). Twenty-eight cordectomies (26 patients) were performed, 3 for tumor removal in supraglottis. Recession was performed always with negative margins. Three patients died during follow up (2 were not related with laryngeal tumor and 1 because of pulmonary mestastasis). One patient had ganglionar metastasis. In the postoperative period 3 patients developed synechias of the anterior comissure (assintomatic) and 2 developed dysphagia (1 temporary and 1 definitive). Conclusion: Transoral CO2 LASER Microsurgery allows the removal of tumors of the larynx with good results and low morbidity.
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spelling Transoral CO2 laser microsurgery: Analysis of the management of laryngeal cancer in Hospital de Egas MonizMicrocirurgia assistida por laser CO2: Análise dos últimos 6 anos no tratamento de neoplasias da laringe no Hospital de Egas MonizLarynxNeoplasmsSurgical OncologyCO2 LASERLaringeneoplasiacirurgiaLASER CO2Objectives: Describe surgical results of transoral CO2 LASER Microsurgery for laryngeal cancer. Material and methods: Retrospective analysis of 29 patients with oropharyngeal and laryngeal cancer submitted to transoral LASER microsurgery between 2009 and 2015 in the Hospital de Egas Moniz. Results: Two patients had oropharyngeal cancer and 29 laryngeal cancer. The tumors were classified in Tis (2 cases), T1 (17 cases) and T2 (10 cases). Twenty-eight cordectomies (26 patients) were performed, 3 for tumor removal in supraglottis. Recession was performed always with negative margins. Three patients died during follow up (2 were not related with laryngeal tumor and 1 because of pulmonary mestastasis). One patient had ganglionar metastasis. In the postoperative period 3 patients developed synechias of the anterior comissure (assintomatic) and 2 developed dysphagia (1 temporary and 1 definitive). Conclusion: Transoral CO2 LASER Microsurgery allows the removal of tumors of the larynx with good results and low morbidity.Objetivos: Descrever os resultados do tratamento cirúrgico das neoplasias da laringe operadas por microcirurgia da laringe assistida por LASER CO2, com especial enfâse na análise da eficácia do tratamento, sequelas e sobrevida. Material e Métodos: Análise retrospectiva de uma série de 29 doentes com neoplasia da laringe operados entre 2009 e 2015 no Hospital de Egas Moniz por microcirurgia assistida por LASER. Resultados: Os tumores localizavam-se na laringe (29) e foram classificados como Tis (2 casos), T1 (17 casos) e T2 (10 casos). Realizaram-se 28 cordectomias (26 doentes), 3 supraglotectomias, todas com margens cirúrgicas negativas. No seguimento faleceram 3 doentes (2 não relacionados com a doença e 1 por metástases pulmonares); registou-se uma recidiva ganglionar. No pósoperatório 3 doentes desenvolveram sinéquia da comissura anterior (assintomática) e 2 disfagia (1 transitória e 1 persistente). Conclusões: A microcirurgia assistida por LASER permite a exérese de tumores da laringe com eficácia e comprometimento funcional limitado.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2018-10-19info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34631/sporl.672https://doi.org/10.34631/sporl.672Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 56 No. 1 (2018): March; 21-26Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 56 Núm. 1 (2018): Março; 21-26Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 56 N.º 1 (2018): Março; 21-262184-6499reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://journalsporl.com/index.php/sporl/article/view/2978https://journalsporl.com/index.php/sporl/article/view/2978/998Gilberto, NelsonAlmeida, GustavoSousa, Pedro MachadoEscada, Pedro Albertoinfo:eu-repo/semantics/openAccess2024-06-06T13:01:04Zoai:journalsporl.com:article/2978Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-06-06T13:01:04Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Transoral CO2 laser microsurgery: Analysis of the management of laryngeal cancer in Hospital de Egas Moniz
Microcirurgia assistida por laser CO2: Análise dos últimos 6 anos no tratamento de neoplasias da laringe no Hospital de Egas Moniz
title Transoral CO2 laser microsurgery: Analysis of the management of laryngeal cancer in Hospital de Egas Moniz
spellingShingle Transoral CO2 laser microsurgery: Analysis of the management of laryngeal cancer in Hospital de Egas Moniz
Transoral CO2 laser microsurgery: Analysis of the management of laryngeal cancer in Hospital de Egas Moniz
Gilberto, Nelson
Larynx
Neoplasms
Surgical Oncology
CO2 LASER
Laringe
neoplasia
cirurgia
LASER CO2
Gilberto, Nelson
Larynx
Neoplasms
Surgical Oncology
CO2 LASER
Laringe
neoplasia
cirurgia
LASER CO2
title_short Transoral CO2 laser microsurgery: Analysis of the management of laryngeal cancer in Hospital de Egas Moniz
title_full Transoral CO2 laser microsurgery: Analysis of the management of laryngeal cancer in Hospital de Egas Moniz
title_fullStr Transoral CO2 laser microsurgery: Analysis of the management of laryngeal cancer in Hospital de Egas Moniz
Transoral CO2 laser microsurgery: Analysis of the management of laryngeal cancer in Hospital de Egas Moniz
title_full_unstemmed Transoral CO2 laser microsurgery: Analysis of the management of laryngeal cancer in Hospital de Egas Moniz
Transoral CO2 laser microsurgery: Analysis of the management of laryngeal cancer in Hospital de Egas Moniz
title_sort Transoral CO2 laser microsurgery: Analysis of the management of laryngeal cancer in Hospital de Egas Moniz
author Gilberto, Nelson
author_facet Gilberto, Nelson
Gilberto, Nelson
Almeida, Gustavo
Sousa, Pedro Machado
Escada, Pedro Alberto
Almeida, Gustavo
Sousa, Pedro Machado
Escada, Pedro Alberto
author_role author
author2 Almeida, Gustavo
Sousa, Pedro Machado
Escada, Pedro Alberto
author2_role author
author
author
dc.contributor.author.fl_str_mv Gilberto, Nelson
Almeida, Gustavo
Sousa, Pedro Machado
Escada, Pedro Alberto
dc.subject.por.fl_str_mv Larynx
Neoplasms
Surgical Oncology
CO2 LASER
Laringe
neoplasia
cirurgia
LASER CO2
topic Larynx
Neoplasms
Surgical Oncology
CO2 LASER
Laringe
neoplasia
cirurgia
LASER CO2
description Objectives: Describe surgical results of transoral CO2 LASER Microsurgery for laryngeal cancer. Material and methods: Retrospective analysis of 29 patients with oropharyngeal and laryngeal cancer submitted to transoral LASER microsurgery between 2009 and 2015 in the Hospital de Egas Moniz. Results: Two patients had oropharyngeal cancer and 29 laryngeal cancer. The tumors were classified in Tis (2 cases), T1 (17 cases) and T2 (10 cases). Twenty-eight cordectomies (26 patients) were performed, 3 for tumor removal in supraglottis. Recession was performed always with negative margins. Three patients died during follow up (2 were not related with laryngeal tumor and 1 because of pulmonary mestastasis). One patient had ganglionar metastasis. In the postoperative period 3 patients developed synechias of the anterior comissure (assintomatic) and 2 developed dysphagia (1 temporary and 1 definitive). Conclusion: Transoral CO2 LASER Microsurgery allows the removal of tumors of the larynx with good results and low morbidity.
publishDate 2018
dc.date.none.fl_str_mv 2018-10-19
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.34631/sporl.672
https://doi.org/10.34631/sporl.672
url https://doi.org/10.34631/sporl.672
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://journalsporl.com/index.php/sporl/article/view/2978
https://journalsporl.com/index.php/sporl/article/view/2978/998
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
dc.source.none.fl_str_mv Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 56 No. 1 (2018): March; 21-26
Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 56 Núm. 1 (2018): Março; 21-26
Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 56 N.º 1 (2018): Março; 21-26
2184-6499
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv mluisa.alvim@gmail.com
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dc.identifier.doi.none.fl_str_mv 10.34631/sporl.672

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