Ridha Barzany, Aram Varin, Baram Aram, Hama Baqi Soren Younis, Yaldo Fitoon
College of Medicine University of Saskatchewan, 2222 Wascana Greens, Regina, SK, Canada.
College of Medicine, Slemani Teaching Hospitals University of Sulaimani.
Ann Med Surg (Lond). 2024 Feb 19;86(4):2181-2188. doi: 10.1097/MS9.0000000000001847. eCollection 2024 Apr.
Carotid body tumours (CBTs) are neoplasms originating from the paraganglionic cells of the carotid body. Excision is the main route of treatment. This study sought to assess the surgical outcomes of post-carotid body tumour resection without preoperative embolization and discern any underlying relationships between modified Shamblin classes (MSC) and related complications.
A retrospective medical record review of prospectively collected data is performed at Sulaymaniyah Teaching Hospital between 2008 and 2019, for 54 patients. Presurgical and postsurgical variables such as comorbidities and complications were noted, respectively.
Patient ages ranged between 26 and 60 years (x̄=40.06) with a minimal female predominance (57.4%). Complications included one minor stroke. MSC and postoperative complications were significantly related (≤0.001). Our analyses also suggested a significant relationship between intraoperative blood loss and the incidence of postoperative complications (=0.001, χ²=25). The MSC III subtype was significantly associated with intraoperative blood loss (=0.000), length of stay (=0.000), and operating time (=0.001).
Our study purports a strong relationship between greater MSC and complications of all types. As such, surgeons may benefit from preoperative strategies to minimize complications.
颈动脉体瘤（CBTs）是起源于颈动脉体副神经节细胞的肿瘤。手术切除是主要的治疗方法。本研究旨在评估未进行术前栓塞的颈动脉体瘤切除术后的手术结果，并识别改良Shamblin分级（MSC）与相关并发症之间的潜在关系。
对2008年至2019年在苏莱曼尼亚教学医院前瞻性收集的54例患者的数据进行回顾性病历审查。分别记录术前和术后的变量，如合并症和并发症。
患者年龄在26至60岁之间（x̄=40.06），女性略占优势（57.4%）。并发症包括1例轻度中风。MSC与术后并发症显著相关（≤0.001）。我们的分析还表明术中失血量与术后并发症发生率之间存在显著关系（=0.001，χ²=25）。MSC III亚型与术中失血量（=0.000）、住院时间（=0.000）和手术时间（=0.001）显著相关。
我们的研究表明较高的MSC与所有类型的并发症之间存在密切关系。因此，外科医生可能会从术前减少并发症的策略中受益。
