Department of Otolaryngology-Head and Neck Surgery, Galilee Medical Center, Affiliated with Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.
Department of Otolaryngology Head and Neck Surgery, Southern Illinois University Medical School, Springfield, IL, USA.
Eur Arch Otorhinolaryngol. 2021 Dec;278(12):4663-4669. doi: 10.1007/s00405-021-06867-6. Epub 2021 May 12.
The inherent variability in performing specific surgical procedures for head and neck cancer remains a barrier for accurately assessing treatment outcomes, particularly in clinical trials. While non-surgical modalities for cancer therapeutics have evolved to become far more uniform, there remains the challenge to standardize surgery. The purpose of this review is to identify the barriers in achieving uniformity and to highlight efforts by surgical groups to standardize selected operations and nomenclature. While further improvements in standardization will remain a challenge, we must encourage surgical groups to focus on strategies that provide such a level.
执行头颈部癌症特定手术的固有变异性仍然是准确评估治疗结果的障碍，特别是在临床试验中。虽然癌症治疗的非手术方法已经发展得更加统一，但标准化手术仍然具有挑战性。本文的目的是确定实现一致性的障碍，并强调外科组为标准化选定手术和命名法所做的努力。虽然进一步提高标准化水平仍将是一个挑战，但我们必须鼓励外科组专注于提供这种水平的策略。
