Devaraja K
Division of Head and Neck Surgery, Department of Otorhinolaryngology Kasturba Medical College, Manipal, Manipal Academy of Higher Education Manipal Karnataka India.
World J Otorhinolaryngol Head Neck Surg. 2024 Feb 6;10(4):333-344. doi: 10.1002/wjo2.152. eCollection 2024 Dec.
Although neck dissection has evolved to become an integral part of the surgical armamentarium for managing head and neck cancers, the manner in which the procedure has reached its present state is worth revisiting.
Published original articles, reviews, clinical practice guidelines, and consensus statements related to the basis, indication, and classification of the neck dissection.
This review discusses some of the critical milestones before and after the description of the procedure of neck dissection by George Crile Sr. in 1905, which eventually played a role in the evolution of this commonly performed oncosurgical procedure.
Several large observational studies of the twentieth century and multicentric randomized trials at the turn of the twenty-first century have shaped neck dissection into a safe and reliable oncosurgical procedure.
From being a radical surgery that was done mostly in large nodal diseases for curative or palliative purposes to becoming a simple procedure that is carried out even in node-negative cases of head and neck cancers for prognostic purposes, the procedure of neck dissection has come a long way and continues to evolve.
尽管颈部清扫术已发展成为头颈癌外科治疗手段的重要组成部分，但该手术达到当前状态的过程仍值得回顾。
已发表的关于颈部清扫术的基础、适应证及分类的原创文章、综述、临床实践指南和共识声明。
本综述讨论了1905年乔治·克里尔（George Crile Sr.）描述颈部清扫术之前和之后的一些关键里程碑事件，这些事件最终在这一常用肿瘤外科手术的发展过程中发挥了作用。
20世纪的多项大型观察性研究以及21世纪之交的多中心随机试验，已将颈部清扫术塑造成一种安全可靠的肿瘤外科手术。
颈部清扫术已走过漫长历程且仍在不断发展，从主要用于治疗或缓解大型淋巴结疾病的根治性手术，演变为甚至在头颈癌无淋巴结转移病例中用于预后目的的简单手术。
