Pezzullo L, Chiofalo M G, Di Cecilia M L, Marone U
Dipartimento Melanoma, IRCCS, Napoli, Italy.
G Chir. 2011 Mar;32(3):164-9.
The purposes of this article are to review the history and evolution of neck dissections, including an update on node levels and their anatomical landmark. A number of classification systems were proposed and subsequently established for neck dissection procedures. The system most often employed was published in 1991 by the American Head and Neck Society and American Academy of Otolaryngology- Head and Neck Surgery and revised in 2002 and 2008. According to this classification, neck dissections are grouped into four broad categories: radical neck dissection (RND), modified radical neck dissection (MRND), selective neck dissection (SND) and extended neck dissection (ERND). The choice between different surgeries depends on type and site of head and neck tumor as well nodal involvement.
本文旨在回顾颈部淋巴结清扫术的历史与演变，包括对淋巴结分区及其解剖标志的更新。针对颈部淋巴结清扫术，人们提出并随后建立了多种分类系统。最常采用的系统由美国头颈学会和美国耳鼻咽喉-头颈外科学会于1991年发布，并于2002年和2008年进行了修订。根据该分类，颈部淋巴结清扫术分为四大类：根治性颈部淋巴结清扫术（RND）、改良根治性颈部淋巴结清扫术（MRND）、选择性颈部淋巴结清扫术（SND）和扩大根治性颈部淋巴结清扫术（ERND）。不同手术方式的选择取决于头颈肿瘤的类型和部位以及淋巴结受累情况。
