[颈部淋巴结清扫术并发症]
[Neck dissection complications].
作者信息
Dedivitis Rogério Aparecido, Guimarães André Vicente, Pfuetzenreiter Elio Gilberto, Castro Mario Augusto Ferrari de
机构信息
Departamento de Cirurgia da Faculdade de Medicina da Universidade de São Paulo, São Paulo/SP.
出版信息
Braz J Otorhinolaryngol. 2011 Jan-Feb;77(1):65-9. doi: 10.1590/s1808-86942011000100011.
Because of the proximity of vital structures, certain complications are inherent to neck dissection (ND) for the treatment of patients with squamous cell carcinoma of the upper aerodigestive tract. To establish the incidence of complications of ND. A cross-sectional retrospective study of patient registries. ND with curative intention was evaluated in 480 patients with squamous cell carcinoma of the upper aerodigestive tract from January 1995 to December 2008 to identify perioperative complications. Considering the total quantity of dissected neck sides, 413 radical ND and 295 selective ND were studied, of which 220 were supraomohyoid ND and 75 were jugular ND, totaling 708 sides. There were no deaths. The most frequent complication was marginal mandibular nerve injury (5.5%), followed by accessory nerve injury (5.1%). However, in 18 out of 21 cases this nerve was sacrificed for oncological completeness. There were no perioperative deaths. Nerves were the most commonly injured structures; the marginal mandibular branch is injured most (5.5%).
由于重要结构位置相邻，上呼吸道消化道鳞状细胞癌患者接受颈部清扫术（ND）时必然会出现某些并发症。为确定颈部清扫术并发症的发生率，对患者登记资料进行了一项横断面回顾性研究。对1995年1月至2008年12月期间480例上呼吸道消化道鳞状细胞癌患者进行了以治愈为目的的颈部清扫术，以确定围手术期并发症。考虑到清扫的颈部侧别总数，研究了413例根治性颈部清扫术和295例选择性颈部清扫术，其中220例为肩胛舌骨肌上颈部清扫术，75例为颈静脉清扫术，共计708侧。无死亡病例。最常见的并发症是下颌缘支神经损伤（5.5%），其次是副神经损伤（5.1%）。然而，在21例中有18例为了肿瘤切除彻底而牺牲了该神经。无围手术期死亡病例。神经是最常受损的结构；下颌缘支神经损伤最为常见（5.5%）。
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