Our Summary

The research paper talks about the use of a linear stapler in a surgery called total laryngectomy (removal of the voice box). The authors highlight that using a linear stapler can make the surgery quicker, reduce complications like pharyngeal fistula (an abnormal connection between the throat and skin), and help patients start eating orally sooner. However, the use of this tool in laryngectomy is not as common as in gastrointestinal surgeries.

To encourage its use and improve understanding, the paper reviews the stapler’s parts, how it works, types, usage methods, and the pros and cons of its application in these surgeries.

FAQs

  1. What is the role of the linear stapler in total laryngectomy surgeries?
  2. What are the advantages and disadvantages of using the linear stapler in total laryngectomy?
  3. Why is the use of the linear stapler not as widespread in total laryngectomy as it is in gastrointestinal surgery?

Doctor’s Tip

One helpful tip a doctor might give a patient about laryngectomy is to practice proper care and maintenance of their stoma, including cleaning and changing the stoma cover regularly to prevent infections and irritation. They may also advise the patient on proper swallowing techniques and speech therapy to help them adjust to their new way of speaking. Additionally, the doctor may recommend regular follow-up appointments to monitor for any complications or changes in the stoma site.

Suitable For

Patients who are recommended for laryngectomy typically have conditions such as laryngeal cancer, severe laryngeal trauma, or other diseases or conditions that affect the larynx and cannot be treated effectively with other methods. Laryngectomy may be recommended when other treatments such as radiation therapy or chemotherapy have not been successful, or when the patient’s quality of life is significantly impacted by their laryngeal condition.

Timeline

Before laryngectomy:

  1. Patient is diagnosed with cancer of the larynx or other conditions that require removal of the larynx.
  2. Patient undergoes pre-operative tests and evaluations to determine if they are a candidate for laryngectomy.
  3. Patient may undergo radiation or chemotherapy as part of their treatment plan.
  4. Patient meets with a surgeon and other healthcare providers to discuss the procedure and post-operative care.

After laryngectomy:

  1. Patient undergoes the laryngectomy surgery, during which the larynx is removed and a stoma is created in the neck for breathing.
  2. Patient may experience pain, swelling, and difficulty swallowing in the immediate post-operative period.
  3. Patient receives speech therapy to learn how to communicate without a voice box.
  4. Patient may need to adjust to changes in their appearance and lifestyle, including using a stoma cover and learning how to care for their stoma.
  5. Patient attends regular follow-up appointments with their healthcare team to monitor their recovery and address any concerns or complications.

What to Ask Your Doctor

  1. What is a laryngectomy and why is it being recommended for me?
  2. What are the potential risks and complications associated with a laryngectomy?
  3. How will a laryngectomy affect my ability to speak and swallow?
  4. What is the role of the linear stapler in a total laryngectomy procedure?
  5. How does the linear stapler work and what are the advantages of using it in a laryngectomy?
  6. Are there any specific precautions or steps I need to take before or after the surgery related to the linear stapler?
  7. What is the success rate of using a linear stapler in a laryngectomy?
  8. Are there any alternative surgical techniques or options available besides using a linear stapler?
  9. How long is the recovery process after a laryngectomy using a linear stapler?
  10. Are there any long-term effects or considerations I should be aware of after undergoing a laryngectomy with the use of a linear stapler?

Reference

Authors: Wang WU, Wei XL, Su JP. Journal: Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Jan;31(1):78-81. doi: 10.13201/j.issn.1001-1781.2017.01.022. PMID: 29774694