Endoscopic laryngo-pharyngeal surgery for elderly patients

Kishimoto, Yo; Harada, Hiroyuki; Funakoshi, Makiko; Miyamoto, Shinpei; Suehiro, Atsushi; Kitamura, Morimasa; Muto, Manabu; Tateya, Ichiro; Omori, Koichi

doi:10.1016/j.anl.2018.08.008

Cited by 8 publications

(8 citation statements)

References 20 publications

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“…6 Procedural complications of ELPS include hemorrhage, post-operative laryngeal edema, stenosis and dysphagia, vocal cord injury, post-operative transient vocal cord paralysis, and subcutaneous emphysema, mediastinal emphysema, mediastinitis, and mediastinal abscess due to perforation, among others. 7 The respiratory status of this particular patient was stable even immediately after extubation, with neither airway constriction nor hoarseness observed. We hence determined that his condition was manageable at the general ward.…”

Section: Discussionmentioning

confidence: 72%

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Simultaneous Endoscopic Resection of Superficial Cancers of the Hypopharynx and Esophagus: A Case Report

et al. 2020

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In recent times, the diagnosis and treatment of superficial laryngopharyngeal cancers has been receiving a lot of attention. Here, we present a case of superficial hypopharyngeal cancer and superficial esophageal cancer for which endoscopic laryngo-pharyngeal surgery (ELPS) and endoscopic submucosal dissection (ESD) were performed simultaneously. The patient was a 67-yearold male. During his follow-up for distal gastrectomy performed earlier for stomach cancer, an upper gastrointestinal endoscopy revealed three primary cancers: superficial hypopharyngeal cancer, superficial esophageal cancer, and esophagogastric junction cancer. Total resection of the remnant stomach was performed followed by hypopharyngeal ELPS combined with esophageal ESD. He developed aspiration pneumonia after the surgery; however, he recovered and was discharged on the 16th day. Thus, safe and effective endoscopic therapy can be performed even for double superficial cancers of the laryngopharynx and esophagus.

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Section: Discussionmentioning

confidence: 72%

“…Kishimoto et al 7 have reported the safety, outcome and feasibility of ELPS in elderly patients aged 75 or older. In 19 cases, although 4 cases had positive margin, no local recurrence occurred in those cases.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Endoscopic Resection of Superficial Cancers of the Hypopharynx and Esophagus: A Case Report

et al. 2020

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“…Tracheostomy may be required to avoid postoperative suffocation due to hemorrhage or laryngeal edema. 16,19,20 In this study, one patient who underwent neck dissection had a postoperative cervical hemorrhage. Additionally, pharyngeal wound hemorrhage was observed in one patient with oropharyngeal cancer.…”

Section: Discussionmentioning

confidence: 89%

“…Postoperative hemorrhage is a major complication of transoral resection; in TOVS and ELPS, it reportedly affected approximately 2%-9% of patients. 16,17,19,20 Additionally, laryngeal edema, cervical emphysema, aspiration pneumonia, vocal fold impairment, and tooth fractures have also been reported. Tracheostomy may be required to avoid postoperative suffocation due to hemorrhage or laryngeal edema.…”

Section: Discussionmentioning

confidence: 99%

Safety and outcome of three‐dimensional transoral videolaryngoscopic surgery

Ebisumoto,

Sakai,

Iijima

et al. 2024

Head & Neck

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BackgroundTransoral videolaryngoscopic surgery (TOVS) is widely used in Japan, and conventional two‐dimensional (2D) endoscopic methods have been established. Three‐dimensional (3D) endoscopic surgery offers superior distance perception because it provides stereoscopic views. Recently, we have developed 3D endoscopy for TOVS (3D TOVS).MethodsThis study included 46 patients with pharyngeal cancer who underwent 3D TOVS. The perioperative complications and survival curves were retrospectively analyzed.ResultsOne patient with oropharyngeal cancer who underwent neck dissection and transoral resection simultaneously experienced postoperative hemorrhage of the neck. Another patient with oropharyngeal cancer underwent hemostasis for postoperative pharyngeal hemorrhage. There was one case of aspiration pneumonia. One patient developed cervical lymph node recurrence; however, there was no local recurrence or primary mortality. The 2‐year overall survival, disease‐specific survival, local control rates, locoregional control rate, and invasive disease‐free survival were 90.9%, 100%, 100%, 97.4%, and 79.9%, respectively.ConclusionsThree‐dimensional endoscopy can be safely applied to TOVS.

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“…Kishimoto et al reported the treatment outcomes of 29 cancerous or precancerous lesions in 19 patients aged ≥75 years who underwent ELPS with a 3-year OS rate of 90.2% and 3-year DSS rate of 100%. In their cohort, two patients had postoperative hemorrhage, and two patients had aspiration pneumonia ( 13 ). A mutant allele encoding an inactive subunit of aldehyde dehydrogenase-2 is reported to be frequently observed in the Japanese population ( 20 ), resulting in their high risk for malignancies of the upper gastrointestinal tract.…”

Section: Elps In Japanmentioning

confidence: 99%

Current Status of Transoral Surgery for Patients With Early-Stage Pharyngeal and Laryngeal Cancers in Japan

et al. 2021

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As the laryngopharynx is closely related to swallowing, speech, and phonation, it is necessary to consider not only disease control but also a minimally invasive approach for the treatment of laryngopharyngeal cancer. Transoral surgery has been reported to be a minimally invasive method for treating these diseases. Transoral videolaryngoscopic surgery (TOVS) and endoscopic laryngo-pharyngeal surgery (ELPS) have been developed in Japan and recently emerged as treatments for patients with early stage pharyngeal and laryngeal cancers. However, securing an appropriate field of view and a narrow operating space during TOVS or ELPS are critical issues to be resolved for these surgeries. The clinical significance and safety of transoral robotic surgery (TORS) using the da Vinci Surgical System have been widely reported to provide surgeons with increased visualization and magnification, resulting in precise surgical margins and rapid functional recovery. In this context, a multi-institutional clinical study was conducted to evaluate the treatment outcomes of TORS for the treatment of laryngopharyngeal cancer in Japan, and the da Vinci Surgical System for oral robot-assisted surgery for these diseases was approved by the Pharmaceutical Affairs Agency in August 2018. This review provides an overview of the therapeutic effects of TOVS, ELPS, and TORS, with a particular focus on these therapeutic results in Japan.

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Endoscopic laryngo-pharyngeal surgery for elderly patients

Cited by 8 publications

References 20 publications

Simultaneous Endoscopic Resection of Superficial Cancers of the Hypopharynx and Esophagus: A Case Report

Simultaneous Endoscopic Resection of Superficial Cancers of the Hypopharynx and Esophagus: A Case Report

Safety and outcome of three‐dimensional transoral videolaryngoscopic surgery

Current Status of Transoral Surgery for Patients With Early-Stage Pharyngeal and Laryngeal Cancers in Japan

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