Update on the classification and nomenclature system for neck dissection: revisions proposed by the Japan Neck Dissection Study Group
Update on the classification and nomenclature system for neck dissection: revisions proposed by the Japan Neck Dissection Study Group
复制标题
颈清扫分类和命名系统的更新：日本颈清扫研究小组提出的修订
DOI：
10.1007/s10147-009-0019-z
复制
发表时间：
2010
影响因子：
3.3
通讯作者：
M. Saikawa
中科院分区：
文献类型：
--
作者：
Y. Hasegawa;M. Saikawa
颈部清扫术的术语相当复杂，因为大量的非根治性颈部清扫术是由不同的外科医生创造的，每个外科医生都用自己的语言命名他们的手术方法，试图保留根治性颈部清扫术通常失去的功能。尽管有许多关于标准化的建议，但这种并发症仍然在全世界头颈外科医生中引起严重的困惑。方法日本颈部解剖研究组于2005年创建并于2009年更新了一个新的分类和命名系统，该系统易于理解，与日本其他肿瘤分类兼容，并易于与其他颈部解剖术语提案互换。结果根据日本临床肿瘤学会公布的日本区域淋巴结分类，我们的新系统将颈部淋巴结分为四个基本区域和其他区域。四个基本区域中的每一个都进一步划分为几个子区域。每个区域、子区域或主要的非淋巴结构都有自己的符号，由一个字母、两个字母或一个字母加一个数字组成。每个颈部解剖手术都由这些符号的组合来指定。根据颈部淋巴结的切除程度，将颈部清扫分为完全颈部清扫和选择性颈部清扫两组。结论：我们只是希望这个新系统将有助于解决日本乃至全世界对颈部解剖术语的混淆。
BackgroundTerminology for neck dissection is quite complicated because a large number of nonradical neck dissections were created by different surgeons, each of whom named their operational method in their own words in an attempt to preserve functions that were usually lost by radical neck dissection. This complication is still causing serious confusion among head and neck surgeons throughout the world, although there have been many proposals for standardization.MethodsJapan Neck Dissection Study Group created in 2005 and updated in 2009 a new classification and nomenclature system that is easy to understand, compatible with Japanese classifications of other carcinomas, and easily interchangeable with other neck dissection terminology proposals.ResultsBased on the Classification of Regional Lymph Nodes in Japan, published by the Japan Society of Clinical Oncology, our new system divides cervical lymph nodes into four basic regions and other regions. Each of the four basic regions is further divided into several subregions. Each region, subregion, or principal nonlymphatic structure has its own symbol consisting of one alphabetical letter, two alphabetical letters, or one alphabetical letter plus one numeral. Each neck dissection operation is designated by a combination of these symbols. Neck dissections are classified into two groups, total neck dissection and selective neck dissection, according to the extent of resection of the cervical lymph nodes.ConclusionWe simply hope that this new system will contribute to resolving the confusion over the terminology used for neck dissection, not only in Japan but throughout the world.
临床阴性颈部口腔癌的前哨淋巴结放射定位
DOI：
--
发表时间：
2006
期刊：
Head Neck 28
影响因子：
--
作者：
Terada A;Yatabe Y
通讯作者：
Yatabe Y