Stapler-Assisted Pharyngeal Closure After Total Laryngectomy: A Systematic Review and Meta-Analysis

被引：7

作者：

Chiesa-Estomba, Carlos M. ^{[1
]}

Mayo-Yanez, Miguel ^{[2
,3
]}

Palacios-Garcia, Jose M. ^{[4
]}

Lechien, Jerome R. ^{[5
]}

Viljoen, Gerrit ^{[6
]}

Karkos, Petros D. ^{[7
]}

Barillari, Maria R. ^{[8
,9
]}

Gonzalez-Garcia, Jose A. ^{[1
]}

Sistiaga-Suarez, Jon A. ^{[1
]}

Gonzalez-Botas, Jesus Herranz ^{[2
,3
]}

Ayad, Tareck ^{[9
]}

Ferlito, Alfio

机构：

[1] Hosp Univ Donostia Biodonostia, Hlth Res Inst, Dept Otorhinolaryngol Head & Neck Surg, Calle Doctor Begiristain 1, Donostia San Sebastian 20014, Gipuzkoa Basque, Spain

[2] Complexo Hosp Univ A Coruna CHUAC, Otorhinolaryngol Head & Neck Surg Dept, La Coruna 15006, Galicia, Spain

[3] Int Ctr Doctorate & Adv Studies CIEDUS, Clin Res Med, Santiago De Compostela, Spain

[4] Hosp Univ Virgen Macarena, Otorhinolaryngol Head & Neck Surg Dept, Seville, Spain

[5] Paris Saclay Univ, Foch Hosp, Dept Otolaryngol Head & Neck Surg, Paris, France

[6] Univ Cape Town, Groote Schuur Hosp, Div Otolaryngol, Cape Town, South Africa

[7] Ahepa Univ Hosp, Dept Otolaryngol Head & Neck Surg, Thessaloniki, Greece

[8] L Vanvitelli Univ, Dept Mental & Phys Hlth & Prevent Med, Naples, Italy

[9] Ctr Hosp Univ Montreal, Div Otolaryngol Head & Neck Surg, Montreal, PQ, Canada

来源：

ONCOLOGY AND THERAPY | 2022年 / 10卷 / 01期

关键词：

Pharyngocutaneous Fistula; Surgical Stapler; Total Laryngectomy; PHARYNGOCUTANEOUS FISTULA; LINEAR STAPLER; COMPLICATION; EXPERIENCE; OUTCOMES; SUTURE;

D O I：

10.1007/s40487-022-00193-5

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Introduction: Pharyngocutaneous fistula (PCF) remains the most frequent complication following total laryngectomy (TL). Pharyngeal closure with a surgical stapler (SAPC) has been proposed as an effective closure technique that decreases the rate of PCF, reduces surgical time, decreases the length of hospital stay, and shortens the time required before safely initiating oral feeding. Methods: This study involved a systematic review and meta-analysis of patients with laryngeal cancer who underwent TL and with subsequent stapler pharyngeal closure, in order to analyse the current literature regarding the role of SAPC after TL. Results: The incidence of PCF in the stapler-assisted suture group (SASG) was 9.5% (95% CI 8.2-15.9%), with a mean absolute deviation of 1.12, while in the hand-suture group (HSG) group the incidence was 23.4% (95% CI 23-26.1%), with a mean absolute deviation of 5.71 (p = 0.01). Conclusions: SAPC may decrease the risk of PCF in patients following TL. Based on the current data, SAPC appears to shorten the surgical time and the length of hospital stay. Nevertheless, prospective randomized trials are required to validate these findings.

引用

页码：241 / 252

页数：12