Bień Stanisław
Dział Otolaryngologii Chirurgii Głowy i Szyi Swietokrzyskiego Centrum Onkologii w Kielcach.
Otolaryngol Pol. 2006;60(1):5-8.
The history of surgical management of cervical lymph nodes metastases evolved from the XIX century period, when the lymph nodes metastases in head and neck cancer had been recognized as a stage of disease above the limits of rational surgical treatment. Among the Pioneers of surgery of that time was Franciszek Jawdyński. The second period dated from 1906 publication of George Crile, who postulated the necessity of surgical resection of primary tumor as well as regional head and neck lymph nodes and defined a procedure of radical block dissection of cervical lymph nodes ended, when Hughes Martin and his contemporaries established a comprehensive radical neck dissection as a universal standard procedure of head and neck surgery. At present, not forgetting the value of radical neck dissection in treatment of cervical lymph nodes metastases, we return back to less mutilating surgical procedures, with preservation of non lymphatic structures and selective resections of regional group of nodes, due to the progress in non surgical treatment modalities (radiotherapy and chemotherapy) and new techniques of imaging and pathology.
颈部淋巴结转移的外科治疗历史可追溯到19世纪，当时头颈部癌的淋巴结转移被认为是超出合理手术治疗范围的疾病阶段。那个时期的外科先驱之一是弗朗齐歇克·亚夫德尼斯基。第二个阶段始于1906年乔治·克里尔的著作发表，他提出了手术切除原发肿瘤以及区域头颈部淋巴结的必要性，并定义了一种根治性颈部淋巴结整块切除术，该阶段结束于休斯·马丁及其同时代人确立了根治性颈清扫术作为头颈部手术的通用标准术式。目前，在不忘根治性颈清扫术在治疗颈部淋巴结转移中的价值的同时，由于非手术治疗方式（放疗和化疗）以及影像学和病理学新技术的进步，我们又回归到创伤较小的手术方法，即保留非淋巴结构并选择性切除区域淋巴结组。
