Carotid Resection and Reconstruction for Advanced Cervical Cancer

Abstract

Patients with advanced cervical cancers often have direct invasion of their carotid arteries. The prognosis for these patients with nonsurgical therapy is extremely poor. Because complete tumor removal is the only therapy that can offer these patients a chance for cure, carotid resection should be performed. We performed carotid resection and reconstruction on nine patients with advanced cervical cancers. Of these patients, none suffered from severe neurologic postoperative complications such as permanent hemiplegia. Three of the nine patients have been disease free for more than 24 months. These three patients would not have survived without carotid resection. Further study will show the usefulness of carotid resection and reconstruction in decreasing the morbidity and mortality in patients with cervical cancer involving the carotid artery.

Vascular reconstruction for thyroid carcinoma with carotid artery involvement

“…Advanced vascular surgical techniques have made reconstruction of the carotid artery feasible. 4,5 In the field of vascular surgery, the methods for reducing neuromorbidity and mortality in carotid reconstruction were well-established in the early 1980s. In this surgery, the decision to proceed with resection of the carotid artery is made during preoperative planning, not at the time of surgery.…”

“…However, recent progress in vascular techniques has rendered carotid reconstruction possible. 4,5 In this paper, we report two types of surgical techniques that allow carotid resection and reconstruction with locally advanced thyroid papillary carcinomas to be safely and easily performed.…”

Carotid reconstruction in patients operated for malignant head and neck neoplasia

“…29 There is much controversy in the literature regarding these methods as protective factors in carotid surgery, as none of them is totally reliable and their routine use does not impede the occurrence of neurological complications. 4,7,30 All the patients were operated under general anesthesia with appropriate control of arterial pressure. The carotid reflux was bright red and squirted out in all cases.…”

Status of Carotid Resection in Head and Neck Cancer

“…A literature review is confusing with regard to survival. Survival rates during relatively short follow-up periods of 1 -2 years have ranged from 44% to 0% (8,12). Some authors do not report overall oncologic results, but a report mentioned that 4:10 patients were free of disease for \ 2 years (16).…”