Neck dissection does not add to morbidity or mortality of laryngectomy

Objectives: 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-NS...

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Autores principales:	Christopher C. Xiao, Sarah A. Imam, Shaun A. Nguyen, Marc P. Camilon, Andrew B. Baker, Terry A. Day, Eric J. Lentsch
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2019
Materias:	Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/52bda1d4d9a04736b051156769918863
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spelling	oai:doaj.org-article:52bda1d4d9a04736b0511567699188632021-12-02T14:12:06ZNeck dissection does not add to morbidity or mortality of laryngectomy2095-881110.1016/j.wjorl.2019.01.004https://doaj.org/article/52bda1d4d9a04736b0511567699188632019-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S209588111930109Xhttps://doaj.org/toc/2095-8811Objectives: 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. Keywords: Laryngectomy, Neck dissection, Total laryngectomy, Complication rates, OutcomesChristopher C. XiaoSarah A. ImamShaun A. NguyenMarc P. CamilonAndrew B. BakerTerry A. DayEric J. LentschKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 5, Iss 4, Pp 215-221 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Otorhinolaryngology RF1-547 Surgery RD1-811 Christopher C. Xiao Sarah A. Imam Shaun A. Nguyen Marc P. Camilon Andrew B. Baker Terry A. Day Eric J. Lentsch Neck dissection does not add to morbidity or mortality of laryngectomy
description	Objectives: 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. Keywords: Laryngectomy, Neck dissection, Total laryngectomy, Complication rates, Outcomes
format	article
author	Christopher C. Xiao Sarah A. Imam Shaun A. Nguyen Marc P. Camilon Andrew B. Baker Terry A. Day Eric J. Lentsch
author_facet	Christopher C. Xiao Sarah A. Imam Shaun A. Nguyen Marc P. Camilon Andrew B. Baker Terry A. Day Eric J. Lentsch
author_sort	Christopher C. Xiao
title	Neck dissection does not add to morbidity or mortality of laryngectomy
title_short	Neck dissection does not add to morbidity or mortality of laryngectomy
title_full	Neck dissection does not add to morbidity or mortality of laryngectomy
title_fullStr	Neck dissection does not add to morbidity or mortality of laryngectomy
title_full_unstemmed	Neck dissection does not add to morbidity or mortality of laryngectomy
title_sort	neck dissection does not add to morbidity or mortality of laryngectomy
publisher	KeAi Communications Co., Ltd.
publishDate	2019
url	https://doaj.org/article/52bda1d4d9a04736b051156769918863
work_keys_str_mv	AT christophercxiao neckdissectiondoesnotaddtomorbidityormortalityoflaryngectomy AT sarahaimam neckdissectiondoesnotaddtomorbidityormortalityoflaryngectomy AT shaunanguyen neckdissectiondoesnotaddtomorbidityormortalityoflaryngectomy AT marcpcamilon neckdissectiondoesnotaddtomorbidityormortalityoflaryngectomy AT andrewbbaker neckdissectiondoesnotaddtomorbidityormortalityoflaryngectomy AT terryaday neckdissectiondoesnotaddtomorbidityormortalityoflaryngectomy AT ericjlentsch neckdissectiondoesnotaddtomorbidityormortalityoflaryngectomy
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Neck dissection does not add to morbidity or mortality of laryngectomy

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