Mastronicola Romina, Le Roux Pauline, Casse Aurore, Cortese Sophie, Beulque Emilie, Perna Marco, Dolivet Gilles
Institut de Cancérologie de Lorraine ICL, 6 Avenue de Bourgogne, 54519 Vandoeuvre-lès-Nancy, France.
CRAN, CNRS, UMR 7039, Université de Lorraine, 54519 Vandoeuvre-lès-Nancy, France.
Cancers (Basel). 2023 May 5;15(9):2625. doi: 10.3390/cancers15092625.
Salvage surgeries of head and neck cancer are often complicated and do not always show decent results. This type of procedure is tough on the patient, as many crucial organs can be affected. A long period of reeducation usually follows the surgery because of the need to rehabilitate functions such as speech or swallowing. In order to lighten the journey of the patients, it is important to develop new technologies and techniques to ease the surgery and limit its damages. This seems even more crucial since progress has been made in the past years, allowing more salvage therapy to take place. This article aims at showing the available tools and procedures for salvage surgeries, such as transoral robotic surgery, free-flap surgery, sentinel node mapping, and many others, that help the work of the medical team to operate or obtain a better understanding of the status of the cancer when taken in charge. Yet, the surgical procedure is not the only thing determining the outcome of the operation. The patient themself and their cancer history also play an important part in the care and must be acknowledged.
头颈癌的挽救性手术通常很复杂，而且效果并不总是理想。这类手术对患者来说很艰难，因为许多重要器官可能会受到影响。由于需要恢复如言语或吞咽等功能，手术后通常需要很长一段时间的再训练。为了减轻患者的痛苦，开发新技术和新技巧以简化手术并减少其损伤非常重要。鉴于过去几年已经取得了进展，使得更多的挽救性治疗得以开展，这一点似乎更为关键。本文旨在展示挽救性手术可用的工具和程序，如经口机器人手术、游离皮瓣手术、前哨淋巴结定位等，这些有助于医疗团队开展手术工作，或在负责治疗时更好地了解癌症状况。然而，手术过程并非决定手术结果的唯一因素。患者自身及其癌症病史在治疗中也起着重要作用，必须予以重视。
