EXPERIENCE OF SURGICAL TREATMENT OF THE CAROTID BODY TUMOR AND TUMORS WITH INVASION AT THE CAROTID VESSELS

Ihor Kobza, Arkadiy Savchenko

Abstract


The analysis of the structure and results of surgical treatment of 72 patients who were hospitalized in the department of vascular surgery Lviv regional hospital for the period 1995 to 2017. Among the 42 cases was diagnosed carotid body tumors (1-st study group) and at 30 patients was (2-nd control group) other tumors of the neck. In first group structure of surgery operation was: tumor removal and suturing the vascular wall defects - 76%, resection and shortening of the common carotid artery - 21%, expansion of the internal carotid artery - 3%, ligation of the external carotid artery - 10%, lymphadenectomy - 28%, prosthetic vascular wall - 3%, the tumor resection - 3%, internal jugular vein ligation - 7%, excision of fragment muscle - 3%, nerve resection - 14%. In the second group, the following surgical operations were performed: removal of the tumor and suturing of the defects of the vascular wall - 96%, lymphadenectomy - 48% tumor resection - 30%, ligation of the internal jugular vein - 14%, removal of the muscle fragment - 4% , resection of nerves - 13%. In group 1, intraoperative complications were observed in 1 (3.4%) cases, which were manifested by massive bleeding from the tumor, requiring a repeated surgical intervention to stop the bleeding. Postoperative complications were observed in 1 (3.4%) cases when acute cerebral ischemia developed. In 1 (3.4%) cases, tumor recurrence was observed after 9 years.

Clinic experience shows that surgery is an effective treatment for carotid body tumor and tumors with invasion into vessels of the neck, providing a low rate of complications, a full recovery or long-term remission

Keywords


chemodectoma; carotid body tumor; paraganglioma; neck; carotid arteries; vessels; tumor invasion; lymphadenectomy; surgical treatment

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References


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DOI: http://dx.doi.org/10.21303/2585-663.2017.00455

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Copyright (c) 2017 Ihor Kobza, Arkadiy Savchenko

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ISSN 2585-6634 (Online), ISSN 2585-6626 (Print)