Stankiewicz C, Kowalska B, Mikaszewski B, Brzoznowski W
Katedra i Klinika Chorób Uszu, Nosa, Gardła i Krtani AM w Gdańsku.
Otolaryngol Pol. 2000;54 Suppl 31:142-4.
The structure of lymphatic system of the larynx causes that in some cases node metastases may occur bilaterally. In many patients bilateral neck dissection is indicated. In material of 252 patients with laryngeal carcinoma, treated in ENT Department in Gdańsk in 1976-1985, an assessment of frequency and indications to one-stage bilateral neck dissection was made. Among 252 patients, bilateral operations were performed in 50, i.e. 20%. We have found that in 29 patients of 50 were nodal metastases, in 12 unilateral and in 17 bilateral. The analysis of long-term results of treatment showed 23.5% of 5-year survivals in patients with bilateral metastases and 42.3% in patients with unilateral metastases. To base on these data we consider that bilateral one-stage neck dissection should be a standard treatment in many cases of laryngeal carcinoma.
喉的淋巴系统结构导致在某些情况下淋巴结转移可能双侧发生。在许多患者中，双侧颈清扫术是必要的。对1976年至1985年在格但斯克耳鼻喉科接受治疗的252例喉癌患者的资料进行了分析，评估了一期双侧颈清扫术的频率和适应证。在252例患者中，50例（即20%）进行了双侧手术。我们发现，50例患者中有29例有淋巴结转移，其中12例为单侧转移，17例为双侧转移。对治疗的长期结果分析显示，双侧转移患者的5年生存率为23.5%，单侧转移患者为42.3%。基于这些数据，我们认为在许多喉癌病例中，一期双侧颈清扫术应成为标准治疗方法。
