Outcomes of surgical treatment for carotid body tumor without preoperative embolization: a single-center retrospective study
Wei Xiaolong, Han Tonglei, Sun Yudong, Wu Yani, Zhu Jiang, Wang Shiying, Wen Dihao, Zhao Zhiqing
Published 2020-03-25
Cite as Chin J Gen Surg, 2020,35(03): 187-190. DOI: 10.3760/cma.j.cn113855-20191218-00751
Abstract
ObjectiveTo investigate the outcomes of surgical treatment for carotid body tumor(CBT) without preoperative embolization at our institution.
Methods101 patients undergoing surgical treatment for CBT without preoperative embolization from 2011 to 2016 were followed-up for 2 years.
ResultsComplete resection of the CBT was achieved in all 101 cases(100%). Post-operative adverse events(AEs) mostly observed during hospitalization were as tongue bias(Ⅰ: 4, 36.4%; Ⅱ: 8, 19.5%; Ⅲ: 13, 26.5%), hoarseness(Ⅰ: 1, 9.1%; Ⅱ: 4, 9.8%; Ⅲ: 7, 14.3%), dysphagia (Ⅰ: 0; Ⅱ: 2, 4.9%; Ⅲ: 7, 14.3%) and local hematoma(Ⅰ: 0; Ⅱ: 0; Ⅲ: 1, 2.0%). No other serious AEs were observed. The total incidence of AEs was 5(45.5%) in type Ⅰ patients, 14(34.1%) in type Ⅱ, and 28(57.1%) in type Ⅲ. At the end of 2 years of follow-up, there was no AEs in type Ⅰ patients. The number of patients with adverse events in type Ⅲ was greater than that in type Ⅱ (P>0.05). Three most frequently injured cranial nerves were hypoglossal nerve(21.9%), vagus nerve(20.3%), and recurrent laryngeal nerve(18.8%).
ConclusionSurgical management without preoperative embolization for CBT patients does not increase the risk of complications nor is it related to prognosis.
Key words:
Carotid body tumor; Embolization; Postoperative complications
Contributor Information
Wei Xiaolong
Department of Vascular Surgery, Changhai Hospital, Naval Medical University, Shanghai 200433, China
Han Tonglei
Department of Vascular Surgery, Changhai Hospital, Naval Medical University, Shanghai 200433, China
Sun Yudong
Department of Vascular Surgery, Changhai Hospital, Naval Medical University, Shanghai 200433, China
Wu Yani
Department of Vascular Surgery, Changhai Hospital, Naval Medical University, Shanghai 200433, China
Zhu Jiang
Department of Vascular Surgery, Changhai Hospital, Naval Medical University, Shanghai 200433, China
Wang Shiying
Department of Vascular Surgery, Changhai Hospital, Naval Medical University, Shanghai 200433, China
Wen Dihao
Department of Vascular Surgery, Changhai Hospital, Naval Medical University, Shanghai 200433, China
Zhao Zhiqing
Department of Vascular Surgery, Changhai Hospital, Naval Medical University, Shanghai 200433, China
