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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003342naa a2200337 4500
001oai:DiVA.org:liu-101871
003SwePub
008131124s2006 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1018712 URI
0247 a https://doi.org/10.1016/j.surg.2006.09.0012 DOI
040 a (SwePub)liu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Brauckhoff, Michaelu Department of General, Visceral, and Vascular Surgery, Halle/Saale, Germany4 aut
2451 0a Long-term results and functional outcome after cervical evisceration in patients with thyroid cancer.
264 1b 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.
7001 a Meinicke, Anjau Department of General, Visceral, and Vascular Surgery, Halle/Saale, Germany4 aut
7001 a Bilkenroth, Udou Institute for Pathology, Martin-Luther-University of Halle-Wittenberg, Halle/Saale, Germany4 aut
7001 a Lorenz, Kerstinu Department of General, Visceral, and Vascular Surgery, Halle/Saale, Germany4 aut
7001 a Brauckhoff, Katrinu Department of General, Visceral, and Vascular Surgery, Halle/Saale, Germany4 aut
7001 a Gimm, Oliveru Department of General, Visceral, and Vascular Surgery, Halle/Saale, Germany4 aut0 (Swepub:liu)oligi51
7001 a Thanh, Phuong Nguyenu Department of General, Visceral, and Vascular Surgery, Halle/Saale, Germany4 aut
7001 a Dralle, Henningu Department of General, Visceral, and Vascular Surgery, Halle/Saale, Germany4 aut
7102 a Department of General, Visceral, and Vascular Surgery, Halle/Saale, Germanyb Institute for Pathology, Martin-Luther-University of Halle-Wittenberg, Halle/Saale, Germany4 org
7730 t Surgeryd : Elsevier BVg 140:6, s. 953-9q 140:6<953-9x 0039-6060x 1532-7361
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-101871
8564 8u https://doi.org/10.1016/j.surg.2006.09.001

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