Related Experiment Video
Updated: Jun 6, 2025
Learning Modern Laryngeal Surgery in a Dissection Laboratory
Published on: March 18, 2020
Revisiting the closed stapler laryngectomy: Technique and review of recent evidence
Ryan T Judd1, Jeremy Godsell1, Hannah Kuhar1
1The Ohio State University, Department of Otolaryngology - Head and Neck Surgery, Columbus, OH, United States of America.
Objective:
To review the current literature regarding stapler-assisted closed total laryngectomy (TL), present a case series, and provide details on operative technique.
Finding:
Several meta-analyses and randomized controlled trials have demonstrated lower rates of pharyngocutaneous fistula (PCF) with closed stapler-assisted TL compared to traditional manual closure. Operative time, hospital stay, and time to oral feeding also appear to be lower. We present a five-patient case series of stapler-assisted closed TL with successful outcomes, including the first reported salvage case with free flap reconstruction, and provide technical detail including intraoperative photographs.
Conclusion:
Stapler-assisted closed TL appears to be a safe alternative to traditional manual closure in select patients with endolaryngeal tumors with potential for lower rates of PCF and shorter operative time, hospital stay, and time to oral feeding.
