Endoscopic laryngo-pharyngeal surgery (ELPS) for superficial carcinoma of the pharynx and cervical esophagus

Hirofumi Kawakubo, Tai Omori, Rieko Nakamura, Hiroya Takeuchi, Yuukou Kitagawa

Research output: Contribution to journalArticle

Abstract

Recent advances in endoscopic procedures, such as narrow band imaging systems and magnifying endoscopy, have enabled the precise observation of the hypopharynx and cervical esophagus. We developed endoscopic laryngo-pharyngeal surgery (ELPS) as minimally invasive surgery for superficial carcinoma of the larynx and pharynx. First, we insert the laryngoscope with endoscopic guide and place it at on the upper part of the vocal cord. We lift the larynx by the laryngoscope and fix the laryngoscope. The curved laryngoscope gives us a good visual field and working space between the hypopharynx and the cervical esophagus. After lifting the larynx using the laryngoscope, the endoscopist inserts the endoscope and the operator inserts the forceps and electric device transorally. After iodine staining, we mark the normal mucosa just 1-2 mm away from the cancer margin and inject Epinephrine-added physiological saline solution to the subepithelial layer. After the circumferential cutting, we resect the lesion with the forceps and electric device. ELPS for superficial carcinoma of the hypopharynx and cervical esophagus is a feasible and effective treatment.

Original languageEnglish
Pages (from-to)64-70
Number of pages7
JournalGastroenterological Endoscopy
Volume56
Issue number1
Publication statusPublished - 2014 Jan

Fingerprint

Laryngoscopes
Pharynx
Esophagus
Hypopharynx
Carcinoma
Larynx
Surgical Instruments
Narrow Band Imaging
Equipment and Supplies
Minimally Invasive Surgical Procedures
Vocal Cords
Endoscopes
Visual Fields
Sodium Chloride
Iodine
Epinephrine
Endoscopy
Mucous Membrane
Observation
Staining and Labeling

Keywords

  • ELPS
  • Endoscopic treatment
  • Laryngeal cancer
  • Pharyngeal cancer
  • Superficial cancer

ASJC Scopus subject areas

  • Gastroenterology
  • Radiology Nuclear Medicine and imaging

Cite this

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AU - Kawakubo, Hirofumi

AU - Omori, Tai

AU - Nakamura, Rieko

AU - Takeuchi, Hiroya

AU - Kitagawa, Yuukou

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N2 - Recent advances in endoscopic procedures, such as narrow band imaging systems and magnifying endoscopy, have enabled the precise observation of the hypopharynx and cervical esophagus. We developed endoscopic laryngo-pharyngeal surgery (ELPS) as minimally invasive surgery for superficial carcinoma of the larynx and pharynx. First, we insert the laryngoscope with endoscopic guide and place it at on the upper part of the vocal cord. We lift the larynx by the laryngoscope and fix the laryngoscope. The curved laryngoscope gives us a good visual field and working space between the hypopharynx and the cervical esophagus. After lifting the larynx using the laryngoscope, the endoscopist inserts the endoscope and the operator inserts the forceps and electric device transorally. After iodine staining, we mark the normal mucosa just 1-2 mm away from the cancer margin and inject Epinephrine-added physiological saline solution to the subepithelial layer. After the circumferential cutting, we resect the lesion with the forceps and electric device. ELPS for superficial carcinoma of the hypopharynx and cervical esophagus is a feasible and effective treatment.

AB - Recent advances in endoscopic procedures, such as narrow band imaging systems and magnifying endoscopy, have enabled the precise observation of the hypopharynx and cervical esophagus. We developed endoscopic laryngo-pharyngeal surgery (ELPS) as minimally invasive surgery for superficial carcinoma of the larynx and pharynx. First, we insert the laryngoscope with endoscopic guide and place it at on the upper part of the vocal cord. We lift the larynx by the laryngoscope and fix the laryngoscope. The curved laryngoscope gives us a good visual field and working space between the hypopharynx and the cervical esophagus. After lifting the larynx using the laryngoscope, the endoscopist inserts the endoscope and the operator inserts the forceps and electric device transorally. After iodine staining, we mark the normal mucosa just 1-2 mm away from the cancer margin and inject Epinephrine-added physiological saline solution to the subepithelial layer. After the circumferential cutting, we resect the lesion with the forceps and electric device. ELPS for superficial carcinoma of the hypopharynx and cervical esophagus is a feasible and effective treatment.

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