PDF(Pubmed)
Abstract：
UNASSIGNED: To evaluate the efficacy of transoral laser exoscopic surgery (TOLES) in a unicentric series of patients affected by benign and malignant glottic and supraglottic lesions, and compare outcomes with those of transoral laser microsurgery (TOLMS).
UNASSIGNED: To demonstrate the non-inferiority of TOLES in terms of operative time, margin status and complication rates, we compared outcomes of 93 patients treated by TOLES between July 2021 and July 2023 with those of a match-paired group of 107 historical patients treated by TOLMS. To perform a multiparametric ergonomic evaluation of TOLES vs TOLMS, we used observational methods for biomechanical overload risk assessment and wearable technologies comparing 15 procedures with TOLES vs a paired match of 13 surgeries performed with TOLMS by the same surgeon.
UNASSIGNED: No significant differences were found in terms of surgical duration, positive margins, or complications between TOLES and TOLMS. Ergonomics assessment by inertial measurement units and electromyographic surface electrodes demonstrated a reduced biomechanical overload with TOLES compared to TOLMS.
UNASSIGNED: The many advantages of TOLES, such as its superior didactic value, better digital control of light even through small-bored laryngoscopes, improved binocular vision, and increase in surgical performance by 3 or 4-hand techniques, are difficult to be quantified. In contrast, its non-inferiority in terms of oncological results and better ergonomics compared to TOLMS are demonstrated herein.
UNASSIGNED: To demonstrate the non-inferiority of TOLES in terms of operative time, margin status and complication rates, we compared outcomes of 93 patients treated by TOLES between July 2021 and July 2023 with those of a match-paired group of 107 historical patients treated by TOLMS. To perform a multiparametric ergonomic evaluation of TOLES vs TOLMS, we used observational methods for biomechanical overload risk assessment and wearable technologies comparing 15 procedures with TOLES vs a paired match of 13 surgeries performed with TOLMS by the same surgeon.
UNASSIGNED: No significant differences were found in terms of surgical duration, positive margins, or complications between TOLES and TOLMS. Ergonomics assessment by inertial measurement units and electromyographic surface electrodes demonstrated a reduced biomechanical overload with TOLES compared to TOLMS.
UNASSIGNED: The many advantages of TOLES, such as its superior didactic value, better digital control of light even through small-bored laryngoscopes, improved binocular vision, and increase in surgical performance by 3 or 4-hand techniques, are difficult to be quantified. In contrast, its non-inferiority in terms of oncological results and better ergonomics compared to TOLMS are demonstrated herein.
摘要：
■为了评估经口激光手术（TOLES）在单中心系列受良恶性声门和声门上病变影响的患者中的疗效，并将结果与经口激光显微手术（TOLMS）的结果进行比较。
■为了证明TOLES在手术时间方面的非劣效性，切缘状态和并发症发生率，我们比较了2021年7月至2023年7月间接受TOLES治疗的93例患者的结局与接受TOLMS治疗的107例历史患者的配对组的结局.要对TOLES和TOLMS进行多参数人体工程学评估，我们使用观察性方法进行生物力学超负荷风险评估,并使用可穿戴技术比较了15例TOLES手术与同一位外科医生使用TOLMS进行的13例手术的配对匹配.
■在手术时间方面没有发现显着差异，正利润率，或TOLES和TOLMS之间的并发症。通过惯性测量单元和肌电图表面电极进行的人体工程学评估表明，与TOLMS相比，TOLES的生物力学过载降低。
■TOLES的许多优点，例如其优越的教学价值，更好的数字控制的光，即使通过小无聊的喉镜，改善双目视觉，通过3或4手技术提高手术性能，很难量化。相比之下,与TOLMS相比，在肿瘤学结果和人体工程学方面具有非劣效性。
■为了证明TOLES在手术时间方面的非劣效性，切缘状态和并发症发生率，我们比较了2021年7月至2023年7月间接受TOLES治疗的93例患者的结局与接受TOLMS治疗的107例历史患者的配对组的结局.要对TOLES和TOLMS进行多参数人体工程学评估，我们使用观察性方法进行生物力学超负荷风险评估,并使用可穿戴技术比较了15例TOLES手术与同一位外科医生使用TOLMS进行的13例手术的配对匹配.
■在手术时间方面没有发现显着差异，正利润率，或TOLES和TOLMS之间的并发症。通过惯性测量单元和肌电图表面电极进行的人体工程学评估表明，与TOLMS相比，TOLES的生物力学过载降低。
■TOLES的许多优点，例如其优越的教学价值，更好的数字控制的光，即使通过小无聊的喉镜，改善双目视觉，通过3或4手技术提高手术性能，很难量化。相比之下,与TOLMS相比，在肿瘤学结果和人体工程学方面具有非劣效性。
