대한두경부종양학회지 (Korean Journal of Head & Neck Oncology)
- 제17권1호
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- Pages.13-18
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- 2001
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- 1229-5183(pISSN)
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- 2586-2553(eISSN)
진행된 경부 전이암에서 경동맥 절제를 위한 술전검사와 절제술의 의의
Preoperative Evaluation and Significance of Carotid Resection in Advanced Cervical Metastatic Cancer
- 조정일 (인하대학교 의과대학 이비인후-두경부외과학교실) ;
- 김영모 (인하대학교 의과대학 이비인후-두경부외과학교실) ;
- 최원석 (인하대학교 의과대학 이비인후-두경부외과학교실) ;
- 최상학 (인하대학교 의과대학 이비인후-두경부외과학교실) ;
- 한창준 (건국대학교 의과대학 이 비인후과학교실)
- Cho Jung-Il (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, InHa University) ;
- Kim Young-Mo (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, InHa University) ;
- Choi Won-Suk (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, InHa University) ;
- Choi Sang-Hak (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, InHa University) ;
- Han Chang-Joon (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Kunkuk University)
- 발행 : 2001.05.01
초록
Objectives: We studied what is the role of elective carotid artery resection in the management of advanced cervical metastatic cancer. Materials and Methods: 5 patients with elective carotid artery resection in advanced metastatic cervical cancer were reviewed retrospectively. The patients underwent complete neuroradiologic evaluation, including CT/MRI. angiography, duplex doppler, balloon occlusion test with EEG, and brain SPECT for determination of compatible collateral circulation after carotid artery resection. Results: Perioperative complication were appeared in 2 patients those were middle cerebral arterial infarction and mediastinal bleeding. Postoperative mortality rate was 20%. 4 patients recurred within 1 year. Conclusion: Preoperative collateral study rarely provide whether resection carotid artery or not. Elective carotid artery resection cannot provide locoregional control of tumor and don't promote survival.