[Comparison between stapled and traditional suture closure total laryngectomy]

Area of Science:

• Otolaryngology
• Surgical Oncology
• Head and Neck Surgery

Background:

• Total laryngectomy is a surgical procedure for laryngeal cancer.
• Surgical techniques for pharyngeal closure include traditional suture and stapled methods.
• Clinical outcomes of these closure methods require comparative analysis.

Purpose of the Study:

• To compare the clinical outcomes of stapled versus traditional suture closure in total laryngectomy.
• To evaluate differences in pharyngeal fistula, postoperative bleeding, dysphagia, and nasal regurgitation.

Main Methods:

• A retrospective study of 53 patients with laryngeal cancer undergoing total laryngectomy.
• Patients were divided into two groups: traditional suture closure (n=32) and stapled closure (n=21).
• Outcomes including pharyngeal fistula, bleeding, dysphagia, and nasal regurgitation were compared.

Main Results:

• No significant difference in postoperative pharyngeal fistula rates between the two groups (P>0.05).
• Stapled total laryngectomy (group B) showed significantly higher incidences of dysphagia (23.8%), nasal regurgitation (14.3%), and postoperative bleeding (14.3%) compared to traditional suture closure (group A) (P<0.05).

Conclusions:

• Stapled total laryngectomy offers reduced operative time and simplified procedure.
• However, stapled techniques are associated with higher rates of dysphagia, nasal regurgitation, and postoperative bleeding.
• Traditional suture closure is recommended for total laryngectomy due to better clinical outcomes.