Excision of Head and Neck Tumors Combined with Carotid Artery Resection without Arterial Blood Vessel Reconstruction

查看全文 作　　者：Yan Zhang Ming Gao Shuling [1]Li

机构地区：[1]No. 2 Department ot Head and Neck Surgery,Tianjin Medical University Cancer Instituteand Hospital, Tianjin 300060, China.

出　　处：《Clinical oncology and cancer resexreh》索引2009年第6卷第4期,共4页

摘　　要：OBJECTIVE To summarize our clinical experience in treating31 patients with neck masses undergoing carotid artery resectionwithout arterial anastomosis(vascular reconstruction)in TianjinCancer Hospital during a period from 1979 to 2002.METHODS Preoperatively,patients were instructed to applypressure to the carotid artery.Tumor excision combined withcarotid artery resection(TECCAR)was conducted after anaccurate testing of valid cerebral blood supply and compensation.RESULTS Among the study patients,17 were male and 14female,with the age ranging from 14 to 58 years.Of the 31 cases,23 were carotid body tumors(8 malignant),2 vagal body tumors(1 malignant),4 carotid aneurysms,and 2 were metastatic tumorsfrom the cervix involving carotid artery.Of the patients,a subtotalresection of the head and neck masses was conducted in 22 cases.Intraoperative death did not occur,and postoperative CNS orcerebrovascular complications(CVC)were not found.CONCLUSION TECCAR without arterial anastomosis is asafe and feasible procedure.In addition,this method of surgeryhas more advantages in comparison to an arterial anastomosis:i)Tumor resection was more complete.ii)Complications such asthrombus,infection,and lethal hemorrhage etc.,were rare aftersurgery;iii)Postoperative radiotherapy,if needed,would be safeand acceptable;iv)It was a more simplified operational procedure. 关键词：颈动脉体肿瘤医院动脉血管切除术颈部治疗中枢神经系统手术方法

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Excision of Head and Neck Tumors Combined with Carotid Artery Resection without Arterial Blood Vessel Reconstruction

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