Surgical Treatment of Carotid Body Paragangliomas: Outcomes and Complications According to the Shamblin Classification
Surgical Treatment of Carotid Body Paragangliomas: Outcomes and Complications According to the Shamblin Classification
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DOI：
10.3342/ceo.2010.3.2.91
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发表时间：
2010-06-01
影响因子：
3
通讯作者：
Choi, Eun Chang
中科院分区：
文献类型：
--
作者：
Lim, Jae-Yol;Kim, Jinna;Choi, Eun Chang
目标。本研究的目的是回顾我们手术治疗颈动脉体型副神经节瘤的经验，并根据Shamblin的分类来评估预后和并发症。13名经诊断和手术治疗的颈动脉体瘤(CBT)患者纳入本研究。我们回顾了从病历中收集的患者的人口统计学、放射学结果和手术结果。13例患者发现15个CBT，13个肿瘤被切除。6例术前行选择性肿瘤栓塞术。这些患者的中位出血量、手术时间和住院时间与未行栓塞者相比并未显著减少。Shamblin I组、IF组和Shamblin III组肿瘤平均大小分别为2.3 cm和4 cm，术中出血量分别为280mL和700mL(P
Objectives. The objective of this study was to review our experience in the surgical management of carotid body paragangliomas and evaluate the outcomes and complications according to the Shamblin classification.Methods. Thirteen patients who had been diagnosed and surgically treated for carotid body tumors (CBTs) were enrolled in this study. We reviewed patient demographics, radiographic findings, and surgical outcomes collected from medical records.Results. Fifteen CBTs were found in 13 patients and 13 tumors were resected. Selective preoperative tumor embolization was performed on six patients. The median blood loss, operation time, and hospital stay for these patients were not significantly reduced compared to those without embolization. The median tumor size was 2.3 cm in Shamblin I and If and 4 cm in Shamblin III. The median intraoperative blood loss was 280 mL and 700 mL, respectively (P