Surgical experience and risk factors of 133 cases of carotid body tumor
10.3760/cma.j.cn113855-20220106-00007
- VernacularTitle:133例颈动脉体瘤手术危险因素分析
- Author:
Ying WANG
1
;
Xin JIA
;
Jie LIU
;
Xiaoping LIU
;
Jiang XIONG
;
Xiaohui MA
;
Hongpeng ZHANG
;
Wei GUO
Author Information
1. 郑州大学第五附属医院血管外科，郑州 450000
- Keywords:
Carotid body tumor;
Surgical procedures,operative;
Complications;
Risk factors
- From:
Chinese Journal of General Surgery
2022;37(11):821-825
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the surgical experience of carotid body tumor (CBT)and analyze the risk factors.Methods:The clinical and follow-up data of 133 patients with carotid body tumor undergoing surgery at the First Medical Center of PLA General Hospital from Nov 2005 to Apr 2019 were retrospectively analyzed.Results:All of 142 tumors were successfully resected. No patients died perioperatively. Thirty-three (23.2%) cases underwent simple tumor resection, 82 (57.8%) cases underuent tumor resection combined with external carotid artery ligation, 13 (9.2%) cases did internal carotid artery reconstruction, 10 (7.0%) cases had total or external carotid artery repairment, and 4 (2.8%) cases underwent total or internal carotid artery ligation. There were 53 complications, including 43 cases of cranial nerve injury, with an average operating time of 161min (60-500 min), an average blood loss of 308 ml (20-3 000 ml). The follow-up time ranged from 1 to 162 months. No death occurred during the follow-up period.Conclusions:Tumor size and Shamblin typing are surgical risk factors. Most of ShamblinⅠtype tumor can do simple resection, but type Ⅱ and Ⅲ often need to ligate the external carotid artery. Use of great saphenous vein has a favorable long-term patency rate.
