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Lasers in Medical Science

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13.12.2016 | Review Article

Transoral laser microsurgery versus radiotherapy for T1 glottic carcinoma: a systematic review and meta-analysis

verfasst von: Hai-Lan Mo, Jie Li, Xiang Yang, Feng Zhang, Jun-wei Xiong, Zhi-ling Yang, Jian Tan, Bing Li

Erschienen in: Lasers in Medical Science | Ausgabe 2/2017

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Abstract

Transoral laser microsurgery (TLM) and radiotherapy (RT) are both accepted treatment modalities for glottic cancer. The objective of the study was to assess the oncologic outcomes and life quality of TLM in comparison with RT for T1 glottic carcinoma. We searched Medline/PubMed, Web of knowledge, EMBASE, the Cochrane Library, the Wiley online library, Springer, Google, China National Knowledge Infrastructure (CNKI), etc. We screened the literature, assessed the quality of the studies, and extracted the relevant data through the establishment of inclusion and exclusion criteria. Meta-analysis was done using the Cochrane collaboration’ s RevMan 5.0 for data analysis. A total of 11 studies were included in this meta-analysis. The laryngeal preservation for patients undergoing TLM was significantly better than that for RT (P < 0.00). The laser surgery significantly improved the overall survival of patients with T1 glottic carcinoma (P = 0.04). No statistically significant differences were found between TLM and RT regarding the local control (P = 0.91). The funnel plot demonstrates no apparent publication bias in the overall survival and laryngeal preservation comparison. Our meta-analysis suggested that laser surgery was a preferred method than radiotherapy with respect to significantly better overall survival and laryngeal preservation. But the local control was not significant different. Further prospective randomized controlled studies will be needed.

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Titel: Transoral laser microsurgery versus radiotherapy for T1 glottic carcinoma: a systematic review and meta-analysis
verfasst von: Hai-Lan Mo
Jie Li
Xiang Yang
Feng Zhang
Jun-wei Xiong
Zhi-ling Yang
Jian Tan
Bing Li
Publikationsdatum: 13.12.2016
Verlag: Springer London
Erschienen in: Lasers in Medical Science / Ausgabe 2/2017
Print ISSN: 0268-8921
Elektronische ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-016-2103-8

Springer Medizin

Abstract

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