Sacrifice and extracranial reconstruction of the common or internal carotid artery in advanced head and neck carcinoma: Review and meta-analysis

被引：13

作者：

Back, Leif J. J. ^{[1
,2
]}

Aro, Katri ^{[1
,2
]}

Tapiovaara, Laura ^{[1
,2
]}

Vikatmaa, Pirkka ^{[2
,3
]}

de Bree, Remco ^{[4
]}

Fernandez-Alvarez, Veronica ^{[5
]}

Kowalski, Luiz P. ^{[6
]}

Nixon, Iain J. ^{[7
]}

Rinaldo, Alessandra ^{[8
]}

Rodrigo, Juan P. ^{[9
]}

Robbins, K. Thomas ^{[10
]}

Silver, Carl E. ^{[11
]}

Snyderman, Carl H. ^{[12
]}

Suarez, Carlos ^{[13
,14
,15
]}

Takes, Robert P. ^{[16
]}

Ferlito, Alfio ^{[17
]}

机构：

[1] Helsinki Univ Hosp, Dept Otorhinolaryngol Head & Neck Surg, POB 263,Kasarmikatu 11-13, Helsinki 00029, Finland

[2] Univ Helsinki, POB 263,Kasarmikatu 11-13, Helsinki 00029, Finland

[3] Helsinki Univ Hosp, Dept Vasc Surg, Helsinki, Finland

[4] Univ Med Ctr Utrecht, Ctr Canc, Dept Head & Neck Surg Oncol, Utrecht, Netherlands

[5] Hosp Univ Cabuenes, Dept Vasc Surg, Gijon, Spain

[6] Hosp Canc AC Camargo, Ctr Tratamento & Pesquisa, Dept Otorhinolaryngol Head & Neck Surg, Sao Paulo, Brazil

[7] Univ Edinburgh, Dept Surg & Otolaryngol, Head & Neck Surg, Edinburgh, Midlothian, Scotland

[8] Univ Udine, Sch Med, Udine, Italy

[9] Univ Oviedo, Hosp Univ Cent Asturias, Dept Otolaryngol, CIBERONC,ISPA,IUOPA, Oviedo, Spain

[10] Southern Illinois Univ, Sch Med, Div Otolaryngol Head & Neck Surg, Springfield, IL USA

[11] Univ Arizona, Coll Med, Dept Surg, Phoenix, AZ USA

[12] Univ Pittsburgh, Sch Med, Dept Otolaryngol, Pittsburgh, PA USA

[13] Inst Invest Sanitaria Principado Asturias, Oviedo, Spain

[14] ISCIII, CIBERONC, Oviedo, Spain

[15] Univ Oviedo, Inst Univ Oncol Principado Asturias, Oviedo, Spain

[16] Radboud Univ Nijmegen, Med Ctr, Dept Otolaryngol Head & Neck Surg, Nijmegen, Netherlands

[17] Int Head & Neck Sci Grp, Nijmegen, Netherlands

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2018年 / 40卷 / 06期

关键词：

carotid artery; complications; head and neck cancer; reconstruction; survival; SQUAMOUS-CELL CARCINOMA; ADVANCED CERVICAL-CANCER; GREATER SAPHENOUS-VEIN; SAFE PROCEDURE; MALIGNANT-TUMORS; RESECTION; REPLACEMENT; MANAGEMENT; INVASION; SURGERY;

D O I：

10.1002/hed.25093

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

BackgroundSacrifice and reconstruction of the carotid artery in cases of head and neck carcinoma with invasion of the common or internal carotid artery is debated. MethodsWe conducted a systematic search of electronic databases and provide a review and meta-analysis. ResultsOf the 72 articles identified, 24 met the inclusion criteria resulting in the inclusion of 357 patients. The overall perioperative 30-day mortality was 3.6% (13/357). Permanent cerebrovascular complications occurred in 3.6% (13/357). Carotid blowout episodes were encountered in 1.4% (5/357). The meta-regression analysis showed a significant difference in 1-year overall survival between reports published from 1981-1999 (37.0%) and 2001-2016 (65.4%; P=.02). ConclusionThis review provides evidence that sacrifice with extracranial reconstruction of common or internal carotid artery in selected patients with head and neck carcinoma may improve survival with acceptable complication rates. However, all of the published literature is retrospective involving selected series and, therefore, precludes determining the absolute effectiveness of the surgery.

引用

页码：1305 / 1320

页数：16

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