In:
World Journal of Otorhinolaryngology - Head and Neck Surgery, Wiley, Vol. 5, No. 4 ( 2019-12), p. 215-221
Abstract:
To examine the national rates of complications, readmission, reoperation, death and length of hospital stay after laryngectomy. To explore the risks of neck dissection with laryngectomy using outcomes. Methods The American College of Surgeons National Quality Improvement Program (ACS‐NSQIP) database was reviewed retrospectively. The database was analyzed for patients undergoing laryngectomy with and without neck dissection. Demographic, perioperative complication, reoperation, readmission, and death variables were analyzed. Results 754 patients who underwent total laryngectomy during this time were found. Demographic analysis showed average age was 63 years old, 566 (75.1%) were white, and 598 (79.3%) were male. Of these patients, 520 (69.0%) included a neck dissection while 234 (31.0%) did not. When 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, P 〉 0.99). 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 laryngectomies. These results may help physicians make decisions regarding concurrent neck dissection with total laryngectomy.
Type of Medium:
Online Resource
ISSN:
2095-8811
,
2589-1081
DOI:
10.1016/j.wjorl.2019.01.004
Language:
English
Publisher:
Wiley
Publication Date:
2019
detail.hit.zdb_id:
2999715-X
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