Complications of endoscopic CO2 laser surgery for laryngeal cancer and concepts of their management

Scientific paper - Review paper

• Title (croatian): Komplikacije endoskopske CO2 laserske kirurgije karcinoma grkljana i koncept njihovog zbrinjavanja
• Author: Drago Prgomet
• Author: Antun Bačić
• Author: Ratko Prstačić
• Author: Saša Janjanin
• Author's institution: University of Zagreb; School of Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract (english)

Endoscopic CO2 laser surgery (ELS) is a widely accepted treatment modality for early laryngeal cancer. Commonly reported advantages of ELS are good oncologic results with low incidence of complications. Although less common if compared with open procedures, complications following ELS can be very serious, even with lethal outcome. They can range from intraoperative endotracheal tube fire accidents to early and late postoperative sequels that require intensive medical treatment, blood transfusion, or revision surgery. We present our institutional experience, discuss the possible complications of ELS for laryngeal cancer, and outline the concepts of their treatment, with comprehensive literature review. Complications are more frequent following the treatment of supraglottic as compared to glottic cancer. If compared with open surgery, ELS for laryngeal cancer is associated with a lower incidence of complications. Every surgeon performing ELS should comply with particular strategies to avoid complications in the first place, and have a clear concept of their management if they occur.

Abstract (croatian)

Endoskopska CO2 laserska kirurgija široko je prihvaćena metoda liječenja početnog karcinoma grkljana karakterizirana
odličnim onkološkim rezultatom uz nisku učestalost komplikacija. Iako se komplikacije javljaju rjeđe nego kod
otvorenih zahvata na grkljanu, one mogu biti vrlo ozbiljne, ponekad čak i smrtonosne. Javljaju se u širokom opsegu od
intraoperativnog zapaljenja endotrahealnog tubusa ili krvarenja, do ranih ili kasnih postoperativnih komplikacija koje
nerijetko zahtijevaju intenzivno liječenje, transfuzije krvi ili revizijsko kirurško liječenje. U radu opisujemo naše 20-godišnje iskustvo i rezultate tog tipa kirurgije, te raspravljamo o potencijalim komplikacijama uz poseban naglasak na
koncept njihovog zbrinjavanja i sveobuhvatan pregled literature. Komplikacije su učestalije nakon endoskopskih resekcija
supraglotičnih nego glotičnih tumora, a u usporedbi s otvorenim operacijama grkljana incidencija komplikacija
laserske kirurgije je značajno manja. Svaki kirurg koji se upušta u endoskopsku CO2 lasersku kirurgiju grkljana treba
se držati točnih procedura kako bi se komplikacije spriječile, no istovremeno imati i jasan koncept njihovog zbrinjavanja
ukoliko se razviju.

• Keywords (english): Carbon Dioxide; Humans; Laryngeal Neoplasms/surgery; Laser Therapy
• Language: english
• Publication type: Scientific paper - Review paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Collegium Antropologicum
• Numbering: vol. 37, no. 4, pp. 1373-1378
• p-ISSN: 0350-6134
• URN:NBN: urn:nbn:hr:105:823580
• Publication: 2013-12
• Document URL: https://hrcak.srce.hr/118418
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-03-28 08:15:59