Sökning: onr:"swepub:oai:DiVA.org:liu-101871" > Long-term results a...
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000 | 03342naa a2200337 4500 | |
001 | oai:DiVA.org:liu-101871 | |
003 | SwePub | |
008 | 131124s2006 | |||||||||||000 ||eng| | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1018712 URI |
024 | 7 | a https://doi.org/10.1016/j.surg.2006.09.0012 DOI |
040 | a (SwePub)liu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Brauckhoff, Michaelu Department of General, Visceral, and Vascular Surgery, Halle/Saale, Germany4 aut |
245 | 1 0 | a Long-term results and functional outcome after cervical evisceration in patients with thyroid cancer. |
264 | 1 | b Elsevier BV,c 2006 |
338 | a print2 rdacarrier | |
520 | a BACKGROUND: Surgical strategy in patients with thyroid cancer (TC) infiltrating the aerodigestive system is controversial. This study was undertaken to examine the long-term results of cervical evisceration (CE).PATIENTS AND METHODS: Since 1995, 14 consecutive patients with advanced TC underwent total laryngectomy (LE, n = 6) or esophagolaryngectomy (ELR, n = 8). Patients with unusual thyroid neoplasms or metastases to the thyroid (n = 3) were excluded. For esophageal reconstruction, free jejunal grafts (n = 6) and gastric tubes (n = 2) were used.RESULTS: Procedure-related morbidity and mortality were 42% and 14%, respectively. ELR was associated with a significant higher frequency of complications and reoperations compared with LE. Twelve-month and 30-month survival rates were 73% and 55%, respectively; 85% of the patients were satisfied with the surgical results. There were no long-term problems concerning food intake in the ELR patients. Two ELR patients were able to learn a substitutive voice.CONCLUSIONS: Cervical evisceration in patients with TC is associated with significant perioperative morbidity and mortality requiring careful patient selection. Regarding long-term survival, local tumor control, and patient's satisfaction, however, CE should be taken into account in suitable patients with advanced TC. | |
700 | 1 | a Meinicke, Anjau Department of General, Visceral, and Vascular Surgery, Halle/Saale, Germany4 aut |
700 | 1 | a Bilkenroth, Udou Institute for Pathology, Martin-Luther-University of Halle-Wittenberg, Halle/Saale, Germany4 aut |
700 | 1 | a Lorenz, Kerstinu Department of General, Visceral, and Vascular Surgery, Halle/Saale, Germany4 aut |
700 | 1 | a Brauckhoff, Katrinu Department of General, Visceral, and Vascular Surgery, Halle/Saale, Germany4 aut |
700 | 1 | a Gimm, Oliveru Department of General, Visceral, and Vascular Surgery, Halle/Saale, Germany4 aut0 (Swepub:liu)oligi51 |
700 | 1 | a Thanh, Phuong Nguyenu Department of General, Visceral, and Vascular Surgery, Halle/Saale, Germany4 aut |
700 | 1 | a Dralle, Henningu Department of General, Visceral, and Vascular Surgery, Halle/Saale, Germany4 aut |
710 | 2 | a Department of General, Visceral, and Vascular Surgery, Halle/Saale, Germanyb Institute for Pathology, Martin-Luther-University of Halle-Wittenberg, Halle/Saale, Germany4 org |
773 | 0 | t Surgeryd : Elsevier BVg 140:6, s. 953-9q 140:6<953-9x 0039-6060x 1532-7361 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-101871 |
856 | 4 8 | u https://doi.org/10.1016/j.surg.2006.09.001 |
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