What Is Vertical Sleeve Surgery?

Horizontal and vertical hemi-laryngectomy is an enlarged horizontal subtotal laryngectomy, also known as laryngeal 3/4 resection, which is mainly suitable for supraglottic cancer. Retain some or all of the physiological functions of the larynx.

Horizontal and vertical hemi-laryngectomy

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Horizontal and vertical hemi-laryngectomy is an enlarged horizontal subtotal laryngectomy, also known as laryngeal 3/4 resection, which is mainly suitable for supraglottic cancer. Retain some or all of the physiological functions of the larynx.

Horizontal and vertical hemi-laryngectomy

Laryngeal horizontal and vertical partial resection; horizontal and vertical partial laryngectomy; horizontal and vertical partial laryngectomy; horizontal and vertical laryngeal (3/4) resection; vertical and horizontal laryngectomy; horizontal and vertical half-laryngeal (3/4) cut

Otorhinolaryngology / Laryngology / Laryngopharyngeal, Laryngeal and Neck Esophageal Cancer Surgery

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Horizontal and vertical hemi-laryngectomy is an enlarged horizontal subtotal laryngectomy, also known as laryngeal 3/4 resection, which is mainly suitable for supraglottic cancer. Retain some or all of the physiological functions of the larynx.

Horizontal and vertical hemi-laryngectomy is suitable for:

1. The cancerous tumor on the glottis invades the lateral ventricle, larynx, vocal cord, epiglottic laryngeal, epiphyseal fold, or sacral cartilage, or the anterior segment of the contralateral ventricle.

2. Throat-pharyngeal carcinoma tumors invade the inner wall of the piriform fossa on one side, the epiphyseal wrinkles and the tongue surface of the epiglottis.

1. Contralateral vocal cords, larynx, and sacral cartilage have been invaded by tumors.

2. Cancer of the thyroid cartilage.

3. Tumor invasion and intercondylar area.

4. The tumor has expanded to the posterior part of the iliac cartilage (post-annular area).

5. The tumor expands below the glottis, and the size exceeds 5mm.

6. The anterior epiglottic space is widely affected.

7. Cardiopulmonary dysfunction.

1. The general preparation is the same as that of laryngomy.

2. Use a fiberscope, video laryngoscope, or micro-support laryngoscope to fully inspect the larynx, subglottic area, and posterior annulus, and perform biopsy.

3. Indwell gastric tube and urinary tube before operation.

4. The neck skin preparation range is from the upper to the submandibular area, the posterior upper side reaches the mastoid portion, the two sides reach the neck side rear, and the lower side reaches the upper chest, in order to prepare for cervical lymphadenectomy at the same time.

After the patient was lying supine, shoulder pads, and neck was disinfected, a low tracheotomy was performed under local anesthesia, an anesthesia catheter (Abata tube) was inserted, and the anesthesia catheter was sutured and fixed to the upper chest, and then combined intravenous anesthesia was started.

1. Head up in supine position, head fixed for 5-7 days.

2. Use antibiotics to prevent infection.

3. Beginning on the second day of nasal feeding, the oral feeding will be removed.

4. When the drainage is less than 20ml per day, remove the drainage tube.

5. On the 10th day, start to eat orally and observe if there is any inhalation. If inhaled by mistake, you can inflate the tracheal cuff cuff before eating water, and stop applying the trachea until the aspiration disappears.

6. Pay attention to lung infections. Once lung symptoms appear, effective anti-infection measures should be taken.