The Comparative Analysis of Suture versus Linear Stapler Pharyngeal Closure in Total Laryngectomy: A Prospective Randomized Study
Objective:The aim of this study was to prospectively evaluate and compare the outcomes in patients undergoing pharyngeal closure with the linear stapler and suture techniques after total laryngectomy.Methods:Forty-one patients who needed total laryngectomy for laryngeal cancer were enrolled in the s...
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| Format: | Article |
| Language: | English |
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Galenos Yayincilik
2019-12-01
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| Series: | Turkish Archives of Otorhinolaryngology |
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http://turkarchotolaryngol.net/archives/archive-detail/article-preview/the-comparative-analysis-of-suture-versus-linear-s/43063
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| author | Kerem Öztürk Göksel Turhal Arın Öztürk İsa Kaya Serdar Akyıldız Ümit Uluöz |
| author_facet | Kerem Öztürk Göksel Turhal Arın Öztürk İsa Kaya Serdar Akyıldız Ümit Uluöz |
| author_sort | Kerem Öztürk |
| collection | DOAJ |
| description | Objective:The aim of this study was to prospectively evaluate and compare the outcomes in patients undergoing pharyngeal closure with the linear stapler and suture techniques after total laryngectomy.Methods:Forty-one patients who needed total laryngectomy for laryngeal cancer were enrolled in the study. Patients were randomized into two groups according to the pharyngeal closure technique: the linear stapler group (Group A) and the suture closure group (Group B). Rate of pharyngocutaneous fistula (PCF), nasogastric tube (NGT) removal time and pharyngeal closure time were analyzed and compared between the two groups.Results:PCF developed in three patients in Group A (14.3%) and in seven patients in Group B (35%). Although the rate of PCF was lower in Group A, this did not represent a statistical difference (p:0.129). Median NGT removal time was 12 days (IQR=3) and 19.5 days (IQR=1) in Groups A and B, respectively. Median NGT removal time was not statistically different between the two groups (p:0.642). All patients were able to swallow liquids and solids without difficulty. Median pharyngeal closure time was 3 minutes (IQR=1) and 37.5 minutes (IQR=9) in Groups A and B, respectively. Median pharyngeal closure time was significantly lower in Group A (p:0.00).Conclusion:The linear stapler technique in total laryngectomy is a reliable, safe, easy-to-apply and time-saving method. Closure with linear stapler significantly reduces pharyngeal closure time without adverse effect on NGT removal times and PCF rates. |
| first_indexed | 2024-04-10T13:57:55Z |
| format | Article |
| id | doaj.art-ac5d49920b7f4f23ae710f83e167dc63 |
| institution | Directory Open Access Journal |
| issn | 2667-7474 |
| language | English |
| last_indexed | 2024-04-10T13:57:55Z |
| publishDate | 2019-12-01 |
| publisher | Galenos Yayincilik |
| record_format | Article |
| series | Turkish Archives of Otorhinolaryngology |
| spelling | doaj.art-ac5d49920b7f4f23ae710f83e167dc632023-02-15T16:10:25ZengGalenos YayincilikTurkish Archives of Otorhinolaryngology2667-74742019-12-0157416617010.5152/tao.2019.446913049054The Comparative Analysis of Suture versus Linear Stapler Pharyngeal Closure in Total Laryngectomy: A Prospective Randomized StudyKerem Öztürk0Göksel Turhal1Arın Öztürk2İsa Kaya3Serdar Akyıldız4Ümit Uluöz5 Department of Otolaryngology, Ege University School of Medicine, İzmir, Turkey Department of Otolaryngology, Ege University School of Medicine, İzmir, Turkey Department of Otolaryngology, Ege University School of Medicine, İzmir, Turkey Department of Otolaryngology, Ege University School of Medicine, İzmir, Turkey Department of Otolaryngology, Ege University School of Medicine, İzmir, Turkey Department of Otolaryngology, Ege University School of Medicine, İzmir, Turkey Objective:The aim of this study was to prospectively evaluate and compare the outcomes in patients undergoing pharyngeal closure with the linear stapler and suture techniques after total laryngectomy.Methods:Forty-one patients who needed total laryngectomy for laryngeal cancer were enrolled in the study. Patients were randomized into two groups according to the pharyngeal closure technique: the linear stapler group (Group A) and the suture closure group (Group B). Rate of pharyngocutaneous fistula (PCF), nasogastric tube (NGT) removal time and pharyngeal closure time were analyzed and compared between the two groups.Results:PCF developed in three patients in Group A (14.3%) and in seven patients in Group B (35%). Although the rate of PCF was lower in Group A, this did not represent a statistical difference (p:0.129). Median NGT removal time was 12 days (IQR=3) and 19.5 days (IQR=1) in Groups A and B, respectively. Median NGT removal time was not statistically different between the two groups (p:0.642). All patients were able to swallow liquids and solids without difficulty. Median pharyngeal closure time was 3 minutes (IQR=1) and 37.5 minutes (IQR=9) in Groups A and B, respectively. Median pharyngeal closure time was significantly lower in Group A (p:0.00).Conclusion:The linear stapler technique in total laryngectomy is a reliable, safe, easy-to-apply and time-saving method. Closure with linear stapler significantly reduces pharyngeal closure time without adverse effect on NGT removal times and PCF rates. http://turkarchotolaryngol.net/archives/archive-detail/article-preview/the-comparative-analysis-of-suture-versus-linear-s/43063 total laryngectomypharyngocutaneous fistulasurgical staplerlarynx carcinoma |
| spellingShingle | Kerem Öztürk Göksel Turhal Arın Öztürk İsa Kaya Serdar Akyıldız Ümit Uluöz The Comparative Analysis of Suture versus Linear Stapler Pharyngeal Closure in Total Laryngectomy: A Prospective Randomized Study Turkish Archives of Otorhinolaryngology total laryngectomy pharyngocutaneous fistula surgical stapler larynx carcinoma |
| title | The Comparative Analysis of Suture versus Linear Stapler Pharyngeal Closure in Total Laryngectomy: A Prospective Randomized Study |
| title_full | The Comparative Analysis of Suture versus Linear Stapler Pharyngeal Closure in Total Laryngectomy: A Prospective Randomized Study |
| title_fullStr | The Comparative Analysis of Suture versus Linear Stapler Pharyngeal Closure in Total Laryngectomy: A Prospective Randomized Study |
| title_full_unstemmed | The Comparative Analysis of Suture versus Linear Stapler Pharyngeal Closure in Total Laryngectomy: A Prospective Randomized Study |
| title_short | The Comparative Analysis of Suture versus Linear Stapler Pharyngeal Closure in Total Laryngectomy: A Prospective Randomized Study |
| title_sort | comparative analysis of suture versus linear stapler pharyngeal closure in total laryngectomy a prospective randomized study |
| topic | total laryngectomy pharyngocutaneous fistula surgical stapler larynx carcinoma |
| url |
http://turkarchotolaryngol.net/archives/archive-detail/article-preview/the-comparative-analysis-of-suture-versus-linear-s/43063
|
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