Outcomes of surgical treatment for carotid body tumor without preoperative embolization: a single-center retrospective study
10.3760/cma.j.cn113855-20191218-00751
- VernacularTitle:术前未行颈动脉体瘤栓塞的患者手术后并发症的单中心回顾性研究
- Author:
Xiaolong WEI
1
;
Tonglei HAN
;
Yudong SUN
;
Yani WU
;
Jiang ZHU
;
Shiying WANG
;
Dihao WEN
;
Zhiqing ZHAO
Author Information
1. 海军军医大学附属长海医院血管外科，上海 200433
- From:
Chinese Journal of General Surgery
2020;35(3):187-190
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the outcomes of surgical treatment for carotid body tumor(CBT) without preoperative embolization at our institution.Methods:101 patients undergoing surgical treatment for CBT without preoperative embolization from 2011 to 2016 were followed-up for 2 years.Results:Complete resection of the CBT was achieved in all 101 cases(100%). Post-operative adverse events(AEs) mostly observed during hospitalization were as tongue bias(Ⅰ: 4, 36.4%; Ⅱ: 8, 19.5%; Ⅲ: 13, 26.5%), hoarseness(Ⅰ: 1, 9.1%; Ⅱ: 4, 9.8%; Ⅲ: 7, 14.3%), dysphagia (Ⅰ: 0; Ⅱ: 2, 4.9%; Ⅲ: 7, 14.3%) and local hematoma(Ⅰ: 0; Ⅱ: 0; Ⅲ: 1, 2.0%). No other serious AEs were observed. The total incidence of AEs was 5(45.5%) in type Ⅰ patients, 14(34.1%) in type Ⅱ, and 28(57.1%) in type Ⅲ. At the end of 2 years of follow-up, there was no AEs in type Ⅰ patients. The number of patients with adverse events in type Ⅲ was greater than that in type Ⅱ ( P>0.05). Three most frequently injured cranial nerves were hypoglossal nerve(21.9%), vagus nerve(20.3%), and recurrent laryngeal nerve(18.8%). Conclusion:Surgical management without preoperative embolization for CBT patients does not increase the risk of complications nor is it related to prognosis.
