Narrow-band imaging in transoral laser surgery for early glottic cancer in relation to clinical outcome

被引：30
作者：
Plaat, Boudewijn E. C. [1 ]
Zwakenberg, Manon A. [1 ]
van Zwol, Joost G. [1 ]
Wedman, Jan [1 ]
van der Laan, Bernard F. A. M. [1 ]
Halmos, Gyorgy B. [1 ]
Dikkers, Frederik G. [1 ]
机构：
[1] Univ Groningen, Univ Med Ctr Groningen, Dept Otorhinolaryngol Head & Neck Surg, POB 30-001, NL-9700 RB Groningen, Netherlands
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2017年 / 39卷 / 07期
关键词：
laryngeal cancer; narrow-band imaging (NBI); transoral laser surgery; SQUAMOUS-CELL CARCINOMA; EUROPEAN LARYNGOLOGICAL SOCIETY; HIGH-DEFINITION TELEVISION; RESECTION MARGINS; NECK-CANCER; NASOPHARYNGEAL CARCINOMA; LARYNGEAL-CANCER; MICROSURGERY; ENDOSCOPY; HEAD;
D O I：
10.1002/hed.24773
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
BackgroundThe purpose of this study was to validate the prognostic value of adding narrow-band imaging (NBI) during transoral laser surgery (TLS) for early glottic cancer. MethodsIn 84 patients, 93 transoral laser resections were performed for carcinoma in situ (Tcis), T1, or T2 glottic cancer. TLS was preceded by intraoperative evaluation using traditional white-light imaging (WLI) in 51 cases. In 42 cases, NBI was used in addition to WLI. Local recurrence rate and recurrence-free survival were retrospectively compared between both groups. ResultsLocal recurrences developed in 14% of the 93 cases: 12 of 51 patients (24%) were treated by TLS based on WLI alone, and in 1 of 42 patients (2%) in the NBI group (P < .01). Two-year recurrence-free survival was 82% in the WLI group and 98% in the NBI group (P < .05). ConclusionAdditional use of NBI during TLS for early glottic cancer significantly improves clinical outcome.
引用
收藏
页码：1343 / 1348
页数：6
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