用于头颈部特定淋巴结定位的放射性引导手术
Radioguided Surgery for the Localisation of Specific Adenopathies in the Head and Neck Area.
作者信息
de Las Fuentes Monreal Miren, Morales Valentina Castillo, Pérez Isabel Hernández, Villar Isabel Lopez, Hernández Verónica Escorial, Muñoz-Guerra Mario Fernando
机构信息
Oral and Maxillofacial Surgery Deparment, University Hospital La Princesa, Madrid, Spain.
Nuclear Medicine Deparment, University Hospital La Princesa, Madrid, Spain.
出版信息
J Maxillofac Oral Surg. 2024 Oct;23(5):1289-1295. doi: 10.1007/s12663-023-01991-8. Epub 2023 Aug 17.
PURPOSE
Intraoperative identification and excision of specific lymphadenopathies is not always easy; it is, therefore, important to have complementary techniques that help us in the identification of these structures intraoperatively. The aim of this study is to present preliminary results of the use of ROLL technique (radioguided occult lesion localisation) as a method of excisional biopsy in the head and neck territory.
MATERIAL AND METHODS
We present 10 cases of patients with difficult to localise lymphadenopathies in the head and neck territory that underwent the ROLL technique. The radiotracer was only injected in the nodes that we wanted to study; in this way, all of them were correctly identified and extracted without resecting those that had no signs of pathology avoiding removing healthy lymphatic tissue and reducing morbidity.
RESULTS
The ROLL technique is a useful technique, since in all of the patients, the previously marked adenopathy was accurately identified and excised; we reduced the intraoperative time and avoided the complications derived from more aggressive cervical exploratory surgeries.
目的
术中识别并切除特定的淋巴结病变并非总是易事；因此，拥有辅助技术以帮助我们在术中识别这些结构很重要。本研究的目的是展示使用ROLL技术（放射性引导隐匿病变定位）作为头颈部区域切除活检方法的初步结果。
材料与方法
我们呈现了10例头颈部区域难以定位的淋巴结病变患者接受ROLL技术的病例。放射性示踪剂仅注射到我们想要研究的淋巴结中；通过这种方式，所有这些淋巴结都被正确识别并切除，未切除那些无病理迹象的淋巴结，从而避免切除健康的淋巴组织并降低发病率。
结果
ROLL技术是一种有用的技术，因为在所有患者中，先前标记的淋巴结病变均被准确识别并切除；我们缩短了手术时间，并避免了更激进的颈部探查手术带来的并发症。
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