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Conference Paper: Surgical management of carotid body tumor - 20 years experience

TitleSurgical management of carotid body tumor - 20 years experience
Authors
KeywordsMedical sciences
Surgery
Issue Date2015
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASH
Citation
The 2015 Conjoint Scientific Congress of The Royal College of Surgeons of Edinburgh and The College of Surgeons of Hong Kong, and the 20th Asian Congress of Surgery of The Asian Surgical Association, Hong Kong, 11-13 September 2015. In Surgical Practice, 2015, v. 19 suppl. S1, p. 19, abstract no. P9 How to Cite?
AbstractAIM: The study aims to review surgical management of carotid body tumors (CBTs). METHODS: All patients with CBTs underwent surgical resection during the period 1.1.1994 till 1.1.2014 in Queen Mary Hospital were retrospectively reviewed. Their presentation, operative details, postoperative complications as well as follow up information were reported. RESULTS: 20 patients (4 males and 16 females) with 21 CBT operations were recorded. Median age was 36 (range 21–58). All except two CBTs presented as neck mass; one was incidental finding on CT scan and another presented as facial nerve palsy. 6 CBTs (28.6%) were Shamblin class I, 10 (47.6%) were class II and 5 (23.8%) were class III. Two operations required ICA resection and reconstruction to facilitate tumor removal. 4 resections were subtotal, while 17 achieved completion resection. Complications included 2 major strokes, 3 hoarseness of voice and 2 temporary Horner’s syndrome. Shamblin class predicted operative time, blood loss and whether complete resection accomplished (mean operative time 139 minutes, 279 minutes and 396 minutes, p = 0.04; mean blood loss 53 ml, 478 ml and 1500 ml, p < 0.001; complete resection in 6/6 (100%), 9/10 (90%) and 2/5 (40%) for class I, II and III respectively, p = 0.025), but could not predict complication (complications occurred in 2/6 (33%), 3/10 (30%) and 1/5 (20%) of class I, II and III respectively, p = 0.88). With 94 months median follow up, no tumor recurrence was found in all 16 patients whom complete resection achieved. CONCLUSION: Close proximity of the tumor to major carotid vessels and nerves incurred significant operative morbidities. Shamblin class would predict operative difficulty but not complication.
DescriptionConference Theme: Surgery for Tomorrow's Asia
Poster Presentation
This free journal suppl. entitled: Special Issue: RCSEd/CSHK Conjoint Scientific Congress 2015, ASA 20th Asian Congress of Surgery
Persistent Identifierhttp://hdl.handle.net/10722/220441
ISSN
2013 Impact Factor: 0.172
2015 SCImago Journal Rankings: 0.121

 

DC FieldValueLanguage
dc.contributor.authorLaw, Y-
dc.contributor.authorCheng, SW-
dc.date.accessioned2015-10-16T06:42:43Z-
dc.date.available2015-10-16T06:42:43Z-
dc.date.issued2015-
dc.identifier.citationThe 2015 Conjoint Scientific Congress of The Royal College of Surgeons of Edinburgh and The College of Surgeons of Hong Kong, and the 20th Asian Congress of Surgery of The Asian Surgical Association, Hong Kong, 11-13 September 2015. In Surgical Practice, 2015, v. 19 suppl. S1, p. 19, abstract no. P9-
dc.identifier.issn1744-1625-
dc.identifier.urihttp://hdl.handle.net/10722/220441-
dc.descriptionConference Theme: Surgery for Tomorrow's Asia-
dc.descriptionPoster Presentation-
dc.descriptionThis free journal suppl. entitled: Special Issue: RCSEd/CSHK Conjoint Scientific Congress 2015, ASA 20th Asian Congress of Surgery-
dc.description.abstractAIM: The study aims to review surgical management of carotid body tumors (CBTs). METHODS: All patients with CBTs underwent surgical resection during the period 1.1.1994 till 1.1.2014 in Queen Mary Hospital were retrospectively reviewed. Their presentation, operative details, postoperative complications as well as follow up information were reported. RESULTS: 20 patients (4 males and 16 females) with 21 CBT operations were recorded. Median age was 36 (range 21–58). All except two CBTs presented as neck mass; one was incidental finding on CT scan and another presented as facial nerve palsy. 6 CBTs (28.6%) were Shamblin class I, 10 (47.6%) were class II and 5 (23.8%) were class III. Two operations required ICA resection and reconstruction to facilitate tumor removal. 4 resections were subtotal, while 17 achieved completion resection. Complications included 2 major strokes, 3 hoarseness of voice and 2 temporary Horner’s syndrome. Shamblin class predicted operative time, blood loss and whether complete resection accomplished (mean operative time 139 minutes, 279 minutes and 396 minutes, p = 0.04; mean blood loss 53 ml, 478 ml and 1500 ml, p < 0.001; complete resection in 6/6 (100%), 9/10 (90%) and 2/5 (40%) for class I, II and III respectively, p = 0.025), but could not predict complication (complications occurred in 2/6 (33%), 3/10 (30%) and 1/5 (20%) of class I, II and III respectively, p = 0.88). With 94 months median follow up, no tumor recurrence was found in all 16 patients whom complete resection achieved. CONCLUSION: Close proximity of the tumor to major carotid vessels and nerves incurred significant operative morbidities. Shamblin class would predict operative difficulty but not complication.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASH-
dc.relation.ispartofSurgical Practice-
dc.rightsPreprint This is the pre-peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article]. Authors are not required to remove preprints posted prior to acceptance of the submitted version. Postprint This is the accepted version of the following article: [full citation], which has been published in final form at [Link to final article].-
dc.subjectMedical sciences-
dc.subjectSurgery-
dc.titleSurgical management of carotid body tumor - 20 years experience-
dc.typeConference_Paper-
dc.identifier.emailCheng, SW: wkcheng@hkucc.hku.hk-
dc.identifier.authorityCheng, SW=rp00374-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1111/1744-1633.12147-
dc.identifier.hkuros255781-
dc.identifier.volume19-
dc.identifier.issuesuppl. S1-
dc.identifier.spage19, abstract no. P9-
dc.identifier.epage19, abstract no. P9-
dc.publisher.placeAustralia-

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