European Surgeons Were the First to Perform Neck Dissection

Abstract

The history of the surgical treatment of cervical lymph node metastases began in the 19th century, and, unfortunately, the initial attempts at surgical treatment of neck metastases were disastrous. Although some European surgeons reported few cases of radical en bloc dissection, the first successful surgical procedure was performed and described in detail by Franciszek Jawdyński, a Polish surgeon, in 1888. George Washington Crile popularized and illustrated radical en bloc neck dissection in the early 20th century.

Thoracic duct lesions in thyroid surgery: An update on diagnosis, treatment and prevention based on a cohort study

“…Incidence of lymphatic fistula becomes particularly considerable, with variable rate (1e2.5%) in those patients undergoing radical and functional neck dissection [4,5].…”

Sind elektive Lymphknotendissektionen in der Karzinomchirurgie noch zeitgemäß?

“…Hallsted, Moynihan, Miles sind für die Abdominalchirurgie zu nennen [3]. Die Neckdissektion hat viele Väter, u. a. auch Billroth und Kocher [15]. Crile begründete die Radikalität ebenfalls mit der stufenweisen Ausbreitung des Tumors und betonte den leichten Zugang zu den Kopf-Hals-Lymphknoten [7].…”

Quality of life after neck dissection: a multicenter longitudinal study by the Japanese Clinical Study Group on Standardization of Treatment for Lymph Node Metastasis of Head and Neck Cancer

“…Radical neck dissection (RND), which requires the complete removal of lymph nodes from levels I to V, along with the sternocleidomastoid muscle (SCM), internal jugular vein (IJV), and spinal accessory nerve (SAN), has been used as a standard operative technique in the surgical management of lymph node metastases of head and neck cancers [1]. However, significant functional and cosmetic morbidities induced by this operation have not yet been clarified [2,3].…”