Perdikides Theodosios, Avgerinos Efthimios, Lagios Konstantinos, Siafakas Konstantinos X
Department of Thoracic and Vascular Surgery, Hellenic Airforce Hospital, Athens, Greece.
Ann Vasc Surg. 2007 Jan;21(1):117-21. doi: 10.1016/j.avsg.2006.10.010.
Carotid body tumors (CBTs) are rare neoplasms. Excision is the preferred treatment and is associated with low mortality and morbidity, although rates of cranial nerve dysfunction postoperatively and blood loss are still high. We herein present a case of a huge CBT, Shamblin group 3, managed successfully by the use of the Cavitral Ultrasonic Surgical Aspirator after preoperative superselective embolization. Our goal was to minimize the possibility of cranial nerve injury, blood loss, and vascular reconstruction. Careful preoperative evaluation, management, and intraoperative precision are essential for successful outcomes. Ultrasonic dissection of a CBT allows a precise and energy-controlled approach, minimizing intraoperative complications in such a demanding and delicate operation.
颈动脉体瘤（CBTs）是一种罕见的肿瘤。手术切除是首选的治疗方法，其死亡率和发病率较低，尽管术后颅神经功能障碍和失血率仍然很高。我们在此报告一例巨大的CBT（Shamblin 3型），术前进行超选择性栓塞后，使用Cavitral超声手术吸引器成功治疗。我们的目标是尽量减少颅神经损伤、失血和血管重建的可能性。术前仔细评估、处理以及术中精准操作对于取得成功的治疗结果至关重要。对CBT进行超声解剖可实现精确且能量可控的操作方法，从而在这种要求高且精细的手术中最大限度地减少术中并发症。
