Original Article
Diagnosis and surgical treatment of carotid body tumor: a report of 81 cases
Hao Junsheng, Yuan Shifang, Ling Rui, Chen Jianghao, Li Nanlin, Wang Ting, Wang Hui, Li Yongping, Cui Fengqiang, Yang Yuqing, Shi Wenlong
Published 2016-12-15
Cite as Int J Surg, 2016,43(12): 807-810,封三
. DOI: 10.3760/cma.j.issn.1673-4203.2016.12.005
Abstract
ObjectiveTo explore the experience of diagnosis and surgical treatment of carotid body tumor.
MethodsA retrospective analysis between November 2008 and November 2015 was proceeded, the clinical data of surgical treatment for 81 patients with carotid body tumor was collected, to analyze data by SPSS19.0, and summarize the diagnosis of carotid body tumor, choice of operation methods and curative effect and complications prevention.
ResultsSeventy-four cases underwent surgery treatment: tumors of 52 cases were simply stripped, tumors of 13 cases were resected combined with ligation of external carotid artery. Tumors of 7 cases were resected with internal and external carotid artery ligation, 3 cases of whom underwent artificial blood vessel internal carotid artery end to end anastomosis. Postoperative death in 1 case of acute myocardial infarction, complicated with cerebral infarction in 2 cases, 6 cases of injury of cranial nerve relieved after symptomatic treatment. No hemiplegia, aphasia and other serious complications. Tumor size and the surgery time correlation analysis: the correlation coefficient was 0.226, no significant correlation.
ConclusionsCTA is the most commonly used method of preoperative examination. Surgical resection is an effective method in treatment of carotid body tumor. Prevention injury of carotid artery or internal carotid or common carotid artery and their reconstruction is the key to a successful operation. Sufficient preoperative assessment, select the appropriate operation method, intraoperative careful performance can ensure the cerebral perfusion, is the key to prevent and reduce the complications.
Key words:
Carotid body tumor; Diagnosis; Surgical procedures, operative; Cranial nerve injuries
Contributor Information
Hao Junsheng
Department of Thyroid & Breast & Vascular Surgery, Xijing Hospital, Fourth Military Medical University, Xi′an710032, China
Yuan Shifang
Ling Rui
Chen Jianghao
Li Nanlin
Wang Ting
Wang Hui
Li Yongping
Cui Fengqiang
Yang Yuqing
Shi Wenlong