Neck dissection does not add to morbidity or mortality of laryngectomy

作     者：Christopher C.Xiao Sarah A.Imam Shaun A.Nguyen Marc P.Camilon Andrew B.Baker Terry A.Day Eric J.Lentsch Xiao Christopher C.;Imam Sarah A.;Nguyen Shaun A.;Camilon Marc P.;Baker Andrew B.;Day Terry A.;Lentsch Eric J.

作者机构：Department of Otolaryngology-Head and Neck SurgeryKaiser PermanenteNorthern CaliforniaOaklandCA94612USA Department of Health and Human PerformanceThe CitadelCharlestonSC29409USA Department of Otolaryngology-Head and Neck SurgeryMedical University of South CarolinaCharlestonSC29425USA Oregon Health&Science University EarNose&ThroatPortlandOR97239USA 

出 版 物：《World Journal of Otorhinolaryngology-Head and Neck Surgery》 (世界耳鼻咽喉头颈外科杂志（英文）)

年 卷 期：2019年第5卷第4期

页      面：215-221页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Laryngectomy Neck dissection Total laryngectomy Complication rates Outcomes 

摘      要：Objectives:To examine the national rates of complications,readmission,reoperation,death and length of hospital stay after *** explore the risks of neck dissection with laryngectomy using ***:The American College of Surgeons National Quality Improvement Program(ACS-NSQIP)database was reviewed *** database was analyzed for patients undergoing laryngectomy with and without neck ***,perioperative complication,reoperation,readmission,and death variables were ***:754 patients who underwent total laryngectomy during this time were *** analysis showed average age was 63 years old,566(75.1%)were white,and 598(79.3%)were *** these patients,520(69.0%)included a neck dissection while 234(31.0%)did *** comparing patients who received a neck dissection to those who did not,there were no significant differences in median length of hospital stay(12.5 days w/vs.13.3 days w/o,P=0.99),rates of complication(40%w/vs.35%w/o,P=0.23),reoperation(13.5%w/vs.14%w/o,P=0.81),readmission(14%w/vs.18%w/o,P=0.27),and death(1.3%w/vs.1.3%w/o,P0.99).Furthermore,neck dissection did not increase the risk of complication(P=0.23),readmission(P=0.27),reoperation(P=0.81),death(P=0.94),or lengthened hospital stay(P=0.38).Conclusions:Concurrent neck dissection does not increase postoperative morbidity or mortality in patients undergoing total *** results may help physicians make decisions regarding concurrent neck dissection with total laryngectomy.