口腔肿瘤外科术中在创床内重新定位不足的切除边缘：一项可行性研究。
Relocation of inadequate resection margins in the wound bed during oral cavity oncological surgery: A feasibility study.
机构信息
Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Center for Optical Diagnostics and Therapy, Department of Dermatology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
出版信息
Head Neck. 2019 Jul;41(7):2159-2166. doi: 10.1002/hed.25690. Epub 2019 Feb 1.
BACKGROUND
Specimen-driven intraoperative assessment of the resection margins provides immediate feedback if an additional excision is needed. However, relocation of an inadequate margin in the wound bed has shown to be difficult. The objective of this study is to assess a reliable method for accurate relocation of inadequate tumor resection margins in the wound bed after intraoperative assessment of the specimen.
METHODS
During oral cavity cancer surgery, the surgeon placed numbered tags on both sides of the resection line in a pair-wise manner. After resection, one tag of each pair remained on the specimen and the other tag in the wound bed. Upon detection of an inadequate margin in the specimen, the tags were used to relocate this margin in the wound bed.
RESULTS
The method was applied during 80 resections for oral cavity cancer. In 31 resections an inadequate margin was detected, and based on the paired tagging an accurate additional resection was achieved.
CONCLUSION
Paired tagging facilitates a reliable relocation of inadequate margins, enabling an accurate additional resection during the initial surgery.
背景
标本驱动的术中评估可提供切除边缘的即时反馈，如果需要额外切除。然而，在伤口床上重新定位不足的边缘已被证明是困难的。本研究的目的是评估一种可靠的方法，以便在标本的术中评估后，准确地重新定位伤口床上不足的肿瘤切除边缘。
方法
在口腔癌手术中，外科医生以成对的方式在切除线的两侧放置编号标签。切除后，每对中的一个标签留在标本上，另一个标签留在伤口床上。在标本中发现不足的边缘时，使用这些标签将该边缘重新定位到伤口床上。
结果
该方法应用于 80 例口腔癌切除术。在 31 例切除术中发现了不足的边缘，基于配对标记，实现了准确的额外切除。
结论
配对标记有助于可靠地重新定位不足的边缘，使在初次手术中能够进行准确的额外切除。
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