Surgical treatment of carotid body tumor in 69 cases
- VernacularTitle:颈动脉体瘤的外科治疗69例分析
- Author:
Zhonggao WANG
- Publication Type:Journal Article
- Keywords:
Carotid body tumor;
Vascular surgical procedures;
Transplants
- From:
Chinese Journal of General Surgery
1993;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore surgical management and biological characters of carotid body tumor (CBT). MethodsSixty-nine cases of CBT with 78 lesions were reviewed. The surgical approaches were: 1. Enucleation; 2. Resection along with the external carotid artery (CA); 3. En bloc resection with CA and restoration of CA with interpositional grafting or end-to-end anastomosis or external CA to internal CA anastomosis; 4. En bloc resection and restoration of CA using an improved method; 5. CBT resection and CA ligation at initial stage. Results The operative mortality was 3%. Postoperatively, hemiplegia occurred in one case. Horner syndrome, paralysis of glossopharyngeal and vagus, hypoglossal and ramus mandibulous of the facial nerve developed in 9, 9, 5 and 1 cases respectively. Fifty-six patients at follow-up of 1～18 (5) years were alive. Family occurrence (7%), bilateral growth (13%), trend of endocrine-secretion (2.6%), and malignant changes (10%) were found. Conclusion Five approaches were adopted for treating CBT preserving or restoring CA integrity. When CA is resected together with tumor and when the tumor is too close to cranial base, the distal internal CA can be isolated at the transverse cutting area, in which an end-to-end anastomosis can be established, and then the residual tumor can be resected leisurely.
