Surgical analysis of anterior cervical approache in the treatment of brachial plexus schwannoma of thoracic outlet
10.3760/cma.j.cn115396-20230828-00041
- VernacularTitle:颈前入路切除突入胸廓上口臂丛神经鞘瘤的手术分析
- Author:
Yipeng DONG
1
;
Cang LIU
;
Jing ZHANG
;
Xianghua ZHANG
Author Information
1. 首都医科大学附属北京友谊医院神经外科，北京 100050
- Keywords:
Head and neck neoplasms;
Neurilemmoma;
Microsurgery;
Anterior cervical approach
- From:
International Journal of Surgery
2023;50(11):752-756
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the surgical treatment strategies of brachial plexus schwannomas protruding from the foraminal area to the thoracic outlet through anterior cervical approach, and to evaluate the curative effect.Methods:The clinical data of 8 patients treated in Beijing Friendship Hospital Affiliated to Capital Medical University from July 2016 to December 2020 who underwent supraclavicular cervical "barb" incision for protruding into the thoracic outlet through anterior cervical approach were retrospectively collected, including 5 males and 3 females, aged (50.75±11.14) years old, ranging from 31-66 years old. And the key points of the operation, postoperative complications and postoperative follow-up were analyzed. Measurement data with normal distribution were represented as mean±standard deviation( ± s), count data were described as numbers. Results:The tumors in all 8 cases were totally resected.The amount of bleeding during operation was (35.00±14.14) mL. No surgical complications such injury of pleura, aspneumothorax and hemothorax, except 2 cases which developed local sensory disturbance that improved that after neurotrophic treatment and hormonotherapy. All 8 patients were followed up by outpatient or telephone for 1-5 years, and cervical MRI review showed no tumor recurrence in situ.Conclusions:The anterior cervical approach with "barb type" incision above the neck clavicle is effective in excision of schwannomas protruding into the thoracic outlet, with less intraoperative injury, less blood loss, fast postoperative recovery.
