Contralateral external carotid-middle cerebral artery bypass for advanced cervical cancer.

概要

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In 1992, Numata et al. first reported contralateral external carotid-middle cerebral artery bypass grafting for head and neck cancer. With this technique, the bypass route does not interfere the operative field for the cervical cancerous lesion so that the carotid blowout following local infection is preventable. And this surgical procedure requires no shunting method so that the tumor can be removed completely with the affected carotid artery.We used this technique for a 66-year-old man who had oral cancer with cervical metastases (T2N2bM0).This patient had no postoperative ischemic sequelae and has survived without any signs of recurrence for 25 months. We recognized the uniqueness of this technique and also made a few inventions including the clipping of the intracranial carotid artery.
日本頭頸部癌学会の論文