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Updated: May 19, 2026
11:17
Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
[Use of a linear stapler device in total laryngectomy]
Xue-kui Liu1, Hao Li, Wei-wei Liu
1State Key Laboratory of Oncology in South China, Cancer Center of SUN Yat-sen University, Guangzhou 510060, China.
Summary
A linear stapler device effectively closes the pharynx during total laryngectomy, reducing operation time and the risk of pharyngocutaneous fistula. This technique offers an efficient alternative for pharyngeal repair in these patients.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Head and Neck Surgery
Context:
- Total laryngectomy is a surgical procedure for advanced laryngeal cancer.
- Pharyngeal closure is a critical step to prevent complications.
- Traditional manual suture techniques can be time-consuming and associated with fistula formation.
Purpose:
- To evaluate the efficacy and safety of using a linear stapler device for pharyngeal closure in total laryngectomy.
- To compare the stapler technique with manual suture regarding operative time and complication rates.
Summary:
- A study involving sixteen patients undergoing total laryngectomy utilized a TA 60 linear stapler for pharyngeal closure.
- Methylene blue testing revealed a watertight closure in 15 out of 16 patients, with one requiring minor suturing.
- The stapler technique resulted in a low incidence of pharyngocutaneous fistula (6.25%) and saved approximately 45 minutes of operative time compared to manual methods.
Impact:
- The linear stapler technique for pharyngeal closure in total laryngectomy is efficient and safe.
- It significantly reduces operative time and the incidence of pharyngocutaneous fistula.
- This method presents a viable alternative for pharyngeal reconstruction, potentially improving patient outcomes.
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