Radical excision of laryngeal cancer and cervical metastases in "one block"

To date, there is no consensus on the surgeon's tactics for treating patients with laryngeal cancer who have metastases in the regional lymph nodes in addition to the primary tumor. In 1960, at the extended plenum of the Board of the Ukrainian Society of Otolaryngologists, Prof. Kolomiychenko suggested that laryngeal extirpation and radical excision of metastases should be performed separately, with an interval between surgeries of several days. However, according to Ogur, Bello, Klerf, Jackson, and Norris, the number of recurrences increases if surgery is performed separately, and they believe that the primary tumour and metastases must be removed simultaneously. The same opinion is held by S. I. Mostovoy and M. I. Svetlakov. The mortality rate after such operations has been high for a long time, and only recently has it been reduced to a level not exceeding the mortality rate after laryngectomy (Ogura, Bello).