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Abstract：
UNASSIGNED: Resection of carotid body tumor (CBT) in patients of advanced ages has not been appreciated.
UNASSIGNED: This study aims to assess the clinical characteristics and perioperative comorbidities for CBT resection in patients of advanced age and to validate the application of an \"isolated island\" technique for extirpation of CBT.
UNASSIGNED: Eight patients of advanced age (≥60 years) who underwent CBT resection were enrolled as the study group (SG). Another 29 patients of younger age (<45 years old) underwent CBT extirpation were assigned as the control group (CG). The perioperative issues were compared between these 2 groups.
UNASSIGNED: The \"isolated island\" technique was successfully applied for resection of CBT in all 37 patients. The prevalence of Shamblin classification I, II, and III tumors in the SG was 12.5%, 62.5%, and 25%; whereas in the CG was 10.3%, 55.2%, and 34.5%, respectively. Bilateral CBT was observed in 7 patients of the CG and none in the SG. Vascular reconstruction was required for 1 (12.5%) patient in the SG, while it was required for 8 (27.6%) patients in the CG. Postoperative vocal cord palsy occurred in 37.5% of patients in SG, whereas the vocal cord palsy (34.5%) and dysphagia (6.9%) were commonly encountered in CG. In addition to postoperative length of stay (P = .004), no significant difference for operative time, intraoperative blood loss, or mortality were observed between these 2 groups (P > .05).
UNASSIGNED: Extirpation of CBT in patients of advanced age is rationale in appropriately selected patients. The \"isolated island\" technique is safe for CBT resection with seemingly low complication rates.
UNASSIGNED: This study aims to assess the clinical characteristics and perioperative comorbidities for CBT resection in patients of advanced age and to validate the application of an \"isolated island\" technique for extirpation of CBT.
UNASSIGNED: Eight patients of advanced age (≥60 years) who underwent CBT resection were enrolled as the study group (SG). Another 29 patients of younger age (<45 years old) underwent CBT extirpation were assigned as the control group (CG). The perioperative issues were compared between these 2 groups.
UNASSIGNED: The \"isolated island\" technique was successfully applied for resection of CBT in all 37 patients. The prevalence of Shamblin classification I, II, and III tumors in the SG was 12.5%, 62.5%, and 25%; whereas in the CG was 10.3%, 55.2%, and 34.5%, respectively. Bilateral CBT was observed in 7 patients of the CG and none in the SG. Vascular reconstruction was required for 1 (12.5%) patient in the SG, while it was required for 8 (27.6%) patients in the CG. Postoperative vocal cord palsy occurred in 37.5% of patients in SG, whereas the vocal cord palsy (34.5%) and dysphagia (6.9%) were commonly encountered in CG. In addition to postoperative length of stay (P = .004), no significant difference for operative time, intraoperative blood loss, or mortality were observed between these 2 groups (P > .05).
UNASSIGNED: Extirpation of CBT in patients of advanced age is rationale in appropriately selected patients. The \"isolated island\" technique is safe for CBT resection with seemingly low complication rates.
摘要：
未经证实：高龄患者的颈动脉体瘤（CBT）切除尚未得到重视。
UNASSIGNED：本研究旨在评估高龄患者CBT切除术的临床特征和围手术期合并症，并验证“孤岛”技术在CBT切除术中的应用。
UNASSIGNED：8例接受CBT切除的高龄（≥60岁）患者作为研究组（SG）。另外29例年龄较小（<45岁）的CBT摘除患者被分配为对照组（CG）。比较两组围手术期问题。
UNASSIGNED：“孤岛”技术成功应用于所有37例患者的CBT切除术。Shamblin分类I的患病率，II,SG中的III肿瘤为12.5％，62.5%,25%；而CG为10.3%，55.2%,和34.5%，分别。在7例CG患者中观察到双侧CBT，而在SG中未观察到双侧CBT。SG中1例(12.5%)患者需要血管重建，而CG中有8例（27.6％）患者需要。SG中37.5%的患者发生术后声带麻痹,而在CG中常见的是声带麻痹（34.5％）和吞咽困难（6.9％）。除了术后住院时间（P=0.004），手术时间无显著差异，术中失血,两组之间观察到或死亡（P>.05）。
UNASSIGNED：在适当选择的患者中，对高龄患者进行CBT治疗是合理的。“孤岛”技术对于CBT切除是安全的，并发症发生率似乎很低。
UNASSIGNED：本研究旨在评估高龄患者CBT切除术的临床特征和围手术期合并症，并验证“孤岛”技术在CBT切除术中的应用。
UNASSIGNED：8例接受CBT切除的高龄（≥60岁）患者作为研究组（SG）。另外29例年龄较小（<45岁）的CBT摘除患者被分配为对照组（CG）。比较两组围手术期问题。
UNASSIGNED：“孤岛”技术成功应用于所有37例患者的CBT切除术。Shamblin分类I的患病率，II,SG中的III肿瘤为12.5％，62.5%,25%；而CG为10.3%，55.2%,和34.5%，分别。在7例CG患者中观察到双侧CBT，而在SG中未观察到双侧CBT。SG中1例(12.5%)患者需要血管重建，而CG中有8例（27.6％）患者需要。SG中37.5%的患者发生术后声带麻痹,而在CG中常见的是声带麻痹（34.5％）和吞咽困难（6.9％）。除了术后住院时间（P=0.004），手术时间无显著差异，术中失血,两组之间观察到或死亡（P>.05）。
UNASSIGNED：在适当选择的患者中，对高龄患者进行CBT治疗是合理的。“孤岛”技术对于CBT切除是安全的，并发症发生率似乎很低。
