PDF(Pubmed)
Abstract：
UNASSIGNED: In carotid paraganglioma surgery, magnification is crucial to properly evaluate the anatomical relationships between mass, carotid wall, cranial nerves, tumour vascular supply and fascial envelope. The aims of this study are to describe the microsurgical technique, along with the underlying microsurgical anatomy, and to assess outcomes in terms of disease control, complications and functional results.
UNASSIGNED: Twenty-six patients, accounting for 29 carotid paragangliomas, treated with microsurgery by the same senior surgeon over a 35-year period, were included.
UNASSIGNED: No carotid injury requiring repair, nor peri- or post-operative stroke occurred in this series. No surgical injury of the main trunk of VII to XII cranial nerves occurred. Complete excision was obtained in all cases and no recurrence was observed during follow-up.
UNASSIGNED: The small study size and its retrospective nature suggests caution; however, our results show that microsurgery can allow a safe and precise dissection of the carotids and nerves.
UNASSIGNED: Twenty-six patients, accounting for 29 carotid paragangliomas, treated with microsurgery by the same senior surgeon over a 35-year period, were included.
UNASSIGNED: No carotid injury requiring repair, nor peri- or post-operative stroke occurred in this series. No surgical injury of the main trunk of VII to XII cranial nerves occurred. Complete excision was obtained in all cases and no recurrence was observed during follow-up.
UNASSIGNED: The small study size and its retrospective nature suggests caution; however, our results show that microsurgery can allow a safe and precise dissection of the carotids and nerves.
摘要：
■在颈动脉副神经节瘤手术中，放大对于正确评估肿块之间的解剖学关系至关重要，颈动脉壁,颅神经,肿瘤血管供应和筋膜包膜。这项研究的目的是描述显微外科技术，以及潜在的显微外科解剖结构，并评估疾病控制方面的结果，并发症和功能结果。
■26名患者，占29个颈动脉副神经节瘤，由同一位高级外科医生在35年的时间里接受显微外科手术治疗，包括在内。
■没有需要修复的颈动脉损伤，在这一系列病例中也没有发生围手术期或术后卒中.没有发生VII至XII颅神经主干的手术损伤。所有病例均获得完全切除，随访期间未观察到复发。
■研究规模小及其回顾性性质表明谨慎；然而，我们的研究结果表明，显微手术可以安全、精确地解剖颈动脉和神经。
■26名患者，占29个颈动脉副神经节瘤，由同一位高级外科医生在35年的时间里接受显微外科手术治疗，包括在内。
■没有需要修复的颈动脉损伤，在这一系列病例中也没有发生围手术期或术后卒中.没有发生VII至XII颅神经主干的手术损伤。所有病例均获得完全切除，随访期间未观察到复发。
■研究规模小及其回顾性性质表明谨慎；然而，我们的研究结果表明，显微手术可以安全、精确地解剖颈动脉和神经。
