Takeichi N, Ezaki H, Nishiki M, Dohi K, Ushio H, Takenaka M, Matsuyama T
Jpn J Surg. 1984 Nov;14(6):465-71. doi: 10.1007/BF02469788.
Two patients with thyroid carcinoma infiltrating bilateral internal jugular veins were treated. In reconstruction of the internal jugular vein by implantation of an autogenous venous segment or Gore-Tex artificial vessel, the repaired area soon became obstructed. The repaired area with the Impra-Flex artificial vessel became obstructed again one month after the implantation. In the reconstruction by ipsilateral end-to-end anastomosis between the internal and external jugular veins, good circulation was apparent even 2 years after the operation. The internal-external jugular vein anastomosis is expected to increase the safety of single-stage bilateral excision of the internal jugular vein, as an adjunct to total thyroidectomy, in the surgical treatment of thyroid carcinoma.
对两名甲状腺癌浸润双侧颈内静脉的患者进行了治疗。在通过植入自体静脉段或戈尔特斯人工血管重建颈内静脉时，修复区域很快就会阻塞。植入Impra - Flex人工血管的修复区域在植入后一个月再次阻塞。在通过颈内静脉与颈外静脉同侧端端吻合进行重建时，即使在术后2年，血液循环仍良好。颈内静脉 - 颈外静脉吻合术有望提高甲状腺癌手术治疗中作为全甲状腺切除术辅助手段的颈内静脉单阶段双侧切除的安全性。
