Endoscopic layngo-pharyngeal surgery (ELPS) - Prevention of surgical complications; Covering mucosal defects with fibrin glue and polyglycolic acid sheet (MCFP technique) and ELPS training-

Yasuo Sato, Yasutomo Araki, Takehiro Tominaga, Ryoishi Fujii, Nana Nakahara, Tai Omori, Hirofumi Kawakubo

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Endoscopic laryngo-pharyngeal surgery (ELPS) is a trans-oral surgery technique using Satou's curved laryngoscope, with which superficial mucosal lesions are resected directly with the assistance of a flexible endoscope. In ELPS, the margins of superficial carcinomas are clearly visualized even in the entrance of the esophagus. However, surgical training seems to be necessary for this technique. ELPS was applied to 177 fresh laryngo-pharyngeal superficial carcinomas (113 cases) and 5 post-radiation cases of cancer rest or recurrence. In the 113 cases of fresh lesions, the disease-specific 5-year survival rate was 87.5%. In the post-radiation cases, no recurrence was recognized in the primary regions. A study of surgical complications suggested that postoperative bleeding and scar contracture are important. After the ELPS in two fresh cases, the MCFP technique (covering mucosal defects with fibrin glue and polyglycolic acid sheet) was tried. It is suggested that the MCFP technique is useful for pain control and prevention of scar contracture. We constructed an operation simulator using pig gastric mucosa and a resin skull for providing training on endoscopic surgery. This training seems to be effective for improving surgical skills and preventing surgical complications.

Original languageEnglish
Pages (from-to)514-519
Number of pages6
JournalJapanese Journal of Head and Neck Cancer
Volume37
Issue number4
DOIs
Publication statusPublished - 2011

Fingerprint

Polyglycolic Acid
Fibrin Tissue Adhesive
Contracture
Cicatrix
Radiation
Carcinoma
Laryngoscopes
Recurrence
Oral Surgery
Endoscopes
Gastric Mucosa
Skull
Esophagus
Swine
Hemorrhage
Pain
Neoplasms

Keywords

  • Endoscopic surgery
  • Head and neck cancer
  • Neoveil
  • Operation simulator
  • Surgical training

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Oncology

Cite this

Endoscopic layngo-pharyngeal surgery (ELPS) - Prevention of surgical complications; Covering mucosal defects with fibrin glue and polyglycolic acid sheet (MCFP technique) and ELPS training-. / Sato, Yasuo; Araki, Yasutomo; Tominaga, Takehiro; Fujii, Ryoishi; Nakahara, Nana; Omori, Tai; Kawakubo, Hirofumi.

In: Japanese Journal of Head and Neck Cancer, Vol. 37, No. 4, 2011, p. 514-519.

Research output: Contribution to journalArticle

@article{1a564a40a8244a63a7bb6142841b130e,
title = "Endoscopic layngo-pharyngeal surgery (ELPS) - Prevention of surgical complications; Covering mucosal defects with fibrin glue and polyglycolic acid sheet (MCFP technique) and ELPS training-",
abstract = "Endoscopic laryngo-pharyngeal surgery (ELPS) is a trans-oral surgery technique using Satou's curved laryngoscope, with which superficial mucosal lesions are resected directly with the assistance of a flexible endoscope. In ELPS, the margins of superficial carcinomas are clearly visualized even in the entrance of the esophagus. However, surgical training seems to be necessary for this technique. ELPS was applied to 177 fresh laryngo-pharyngeal superficial carcinomas (113 cases) and 5 post-radiation cases of cancer rest or recurrence. In the 113 cases of fresh lesions, the disease-specific 5-year survival rate was 87.5{\%}. In the post-radiation cases, no recurrence was recognized in the primary regions. A study of surgical complications suggested that postoperative bleeding and scar contracture are important. After the ELPS in two fresh cases, the MCFP technique (covering mucosal defects with fibrin glue and polyglycolic acid sheet) was tried. It is suggested that the MCFP technique is useful for pain control and prevention of scar contracture. We constructed an operation simulator using pig gastric mucosa and a resin skull for providing training on endoscopic surgery. This training seems to be effective for improving surgical skills and preventing surgical complications.",
keywords = "Endoscopic surgery, Head and neck cancer, Neoveil, Operation simulator, Surgical training",
author = "Yasuo Sato and Yasutomo Araki and Takehiro Tominaga and Ryoishi Fujii and Nana Nakahara and Tai Omori and Hirofumi Kawakubo",
year = "2011",
doi = "10.5981/jjhnc.37.514",
language = "English",
volume = "37",
pages = "514--519",
journal = "Japanese Journal of Head and Neck Cancer",
issn = "1349-5747",
publisher = "Nihon Tokeibu Gan Gakkai",
number = "4",

}

TY - JOUR

T1 - Endoscopic layngo-pharyngeal surgery (ELPS) - Prevention of surgical complications; Covering mucosal defects with fibrin glue and polyglycolic acid sheet (MCFP technique) and ELPS training-

AU - Sato, Yasuo

AU - Araki, Yasutomo

AU - Tominaga, Takehiro

AU - Fujii, Ryoishi

AU - Nakahara, Nana

AU - Omori, Tai

AU - Kawakubo, Hirofumi

PY - 2011

Y1 - 2011

N2 - Endoscopic laryngo-pharyngeal surgery (ELPS) is a trans-oral surgery technique using Satou's curved laryngoscope, with which superficial mucosal lesions are resected directly with the assistance of a flexible endoscope. In ELPS, the margins of superficial carcinomas are clearly visualized even in the entrance of the esophagus. However, surgical training seems to be necessary for this technique. ELPS was applied to 177 fresh laryngo-pharyngeal superficial carcinomas (113 cases) and 5 post-radiation cases of cancer rest or recurrence. In the 113 cases of fresh lesions, the disease-specific 5-year survival rate was 87.5%. In the post-radiation cases, no recurrence was recognized in the primary regions. A study of surgical complications suggested that postoperative bleeding and scar contracture are important. After the ELPS in two fresh cases, the MCFP technique (covering mucosal defects with fibrin glue and polyglycolic acid sheet) was tried. It is suggested that the MCFP technique is useful for pain control and prevention of scar contracture. We constructed an operation simulator using pig gastric mucosa and a resin skull for providing training on endoscopic surgery. This training seems to be effective for improving surgical skills and preventing surgical complications.

AB - Endoscopic laryngo-pharyngeal surgery (ELPS) is a trans-oral surgery technique using Satou's curved laryngoscope, with which superficial mucosal lesions are resected directly with the assistance of a flexible endoscope. In ELPS, the margins of superficial carcinomas are clearly visualized even in the entrance of the esophagus. However, surgical training seems to be necessary for this technique. ELPS was applied to 177 fresh laryngo-pharyngeal superficial carcinomas (113 cases) and 5 post-radiation cases of cancer rest or recurrence. In the 113 cases of fresh lesions, the disease-specific 5-year survival rate was 87.5%. In the post-radiation cases, no recurrence was recognized in the primary regions. A study of surgical complications suggested that postoperative bleeding and scar contracture are important. After the ELPS in two fresh cases, the MCFP technique (covering mucosal defects with fibrin glue and polyglycolic acid sheet) was tried. It is suggested that the MCFP technique is useful for pain control and prevention of scar contracture. We constructed an operation simulator using pig gastric mucosa and a resin skull for providing training on endoscopic surgery. This training seems to be effective for improving surgical skills and preventing surgical complications.

KW - Endoscopic surgery

KW - Head and neck cancer

KW - Neoveil

KW - Operation simulator

KW - Surgical training

UR - http://www.scopus.com/inward/record.url?scp=84870271164&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84870271164&partnerID=8YFLogxK

U2 - 10.5981/jjhnc.37.514

DO - 10.5981/jjhnc.37.514

M3 - Article

AN - SCOPUS:84870271164

VL - 37

SP - 514

EP - 519

JO - Japanese Journal of Head and Neck Cancer

JF - Japanese Journal of Head and Neck Cancer

SN - 1349-5747

IS - 4

ER -