Chinese Medical Sciences Journal ›› 2011, Vol. 26 ›› Issue (4): 241-245.doi: 10.1016/S1001-9294(12)60008-X

• Original Article • 上一篇    下一篇

Efficacy of Surgical Therapy for Carotid Body Tumors

Li-shan Lian, Chang-wei Liu, Heng Guan, Yue-hong Zheng, Xing-ming Chen, and Yong-jun Li*   

  1. Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese; Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • 收稿日期:2011-11-14 出版日期:2011-12-30 发布日期:2011-12-30
  • 通讯作者: Corresponding author Tel: 86-10-88068230, E-mail: yongj_93@hotmail.com E-mail:yongj_93@hotmail.com

Efficacy of Surgical Therapy for Carotid Body Tumors

Li-shan Lian, Chang-wei Liu, Heng Guan, Yue-hong Zheng, Xing-ming Chen, and Yong-jun Li*   

  1. Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese; Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • Received:2011-11-14 Online:2011-12-30 Published:2011-12-30
  • Contact: Corresponding author Tel: 86-10-88068230, E-mail: yongj_93@hotmail.com E-mail:yongj_93@hotmail.com

摘要: Objective To evaluate the efficacy of surgical therapy for carotid body tumors.
Methods A retrospective analysis was conducted, covering the diagnosis, surgical procedure, postoperative complications, and prognosis of 120 cases of carotid body tumors in Peking Union Medical College Hospital from 1949 to May, 2011.
Results Surgical excision was successfully performed in 111 cases with 117 tumors. In all those cases, 50 underwent simple tumor resection, 42 underwent resection of tumors and ligation of the external carotid arteries, 7 underwent co-resection of tumors and common carotid arteries, internal carotid arteries, as well as external arteries without vascular reconstruction, and the other 12 cases experienced tumor resection and vascular reconstruction as internal carotid arteries were involved. After operation, 3 cases developed cerebral infarction, 30 cases showed cranial nerve palsy, including 15 cases of hypoglossal nerve damage, 10 cases of vagus paralysis, and 5 cases of Horner’s syndrome.
Conclusion It is essential to make a proper surgical strategy, which can reduce postoperative complications.

关键词: carotid body tumor, surgical therapy, postoperative complication

Abstract: Objective To evaluate the efficacy of surgical therapy for carotid body tumors.
Methods A retrospective analysis was conducted, covering the diagnosis, surgical procedure, postoperative complications, and prognosis of 120 cases of carotid body tumors in Peking Union Medical College Hospital from 1949 to May, 2011.
Results Surgical excision was successfully performed in 111 cases with 117 tumors. In all those cases, 50 underwent simple tumor resection, 42 underwent resection of tumors and ligation of the external carotid arteries, 7 underwent co-resection of tumors and common carotid arteries, internal carotid arteries, as well as external arteries without vascular reconstruction, and the other 12 cases experienced tumor resection and vascular reconstruction as internal carotid arteries were involved. After operation, 3 cases developed cerebral infarction, 30 cases showed cranial nerve palsy, including 15 cases of hypoglossal nerve damage, 10 cases of vagus paralysis, and 5 cases of Horner’s syndrome.
Conclusion It is essential to make a proper surgical strategy, which can reduce postoperative complications.

Key words: carotid body tumor, surgical therapy, postoperative complication

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