Collins S
Department of Otolaryngology, Head and Neck Surgery, Loyola University, Chicago Medical Center, Maywood, IL 60153.
Laryngoscope. 1993 Jul;103(7):825-7. doi: 10.1288/00005537-199307000-00019.
Maneuvers are suggested to decrease the likelihood of disseminating and implanting cancer cells in wounds during head and neck oncologic surgery, and thereby the risk of local-regional recurrence. These include occlusive covering of fresh tracheotomy sites and areas of skin ulceration, excising the primary tumor before performing neck dissection(s) to avoid contamination of uninvolved tissue planes, irrigation of the field with hypotonic solution after removal of the primary tumor, and using clean instruments and apparel when moving between anatomical sites (e.g., donor flaps/grafts, skull base extensions, percutaneous or standard gastrostomies, etc.).
建议采取一些措施，以降低头颈部肿瘤手术期间癌细胞在伤口处扩散和植入的可能性，从而降低局部区域复发的风险。这些措施包括对新鲜气管切开部位和皮肤溃疡区域进行封闭覆盖，在进行颈部清扫术前切除原发肿瘤以避免未受累组织平面受到污染，在切除原发肿瘤后用低渗溶液冲洗术野，以及在不同解剖部位（如供体皮瓣/移植物、颅底扩展、经皮或标准胃造口术等）操作时使用清洁的器械和衣物。
