Kuś J, Osmólski A, Frenkiel Z, Kubiczek-Jagielska M
Klinika Laryngologii CMKP w Warszawie.
Otolaryngol Pol. 2000;54 Suppl 31:129-32.
The distribution of the neck surgery dissections proposed by the Academy Committee for Head Neck Surgery and Oncology, Education of the Head Neck Surgery (year 1991) was discussed in this paper. The authors are in the agreement with proposed distribution and strongly recommend its implementation in Poland. The standard radical neck dissection according to Crile was accepted as the base of this distribution. Neck dissection similar to Crile's operation but with saving up important anatomical structures (n. XI., vena jugularis int., m.scm) was called modified radical neck dissection (type I-III). Excision of the lymphatic system from the well-defined regions of the neck with saving up nonlymphatic structures and/or group of lymphatic system same in Crile's operation with additional nonlymphatic structures and/or another lymphatic nodules nonmentioned in Crile's operation is called enlarged radical neck dissection.
本文讨论了头颈外科与肿瘤学会头颈外科教育委员会（1991年）提出的颈部手术解剖分区。作者认同该提议的分区，并强烈建议在波兰实施。以克里尔提出的标准根治性颈清扫术作为该分区的基础。与克里尔手术类似但保留重要解剖结构（副神经、颈内静脉、胸锁乳突肌）的颈清扫术被称为改良根治性颈清扫术（I - III型）。从颈部明确区域切除淋巴系统，同时保留非淋巴结构和/或与克里尔手术相同的一组淋巴系统，外加克里尔手术中未提及的其他非淋巴结构和/或其他淋巴结，这种手术被称为扩大根治性颈清扫术。
