Resection of tumor and carotid artery without artery anastomosis

Objective:To summarize the treatment experience for 31 patients who underwent tumor and carotid artery resection without anastomosis in our hospital between 1979 and 2002.Methods:There were 17 males and 14 females ranging in age from 14 to 58 years.There were 23 cases of carotid body tumor(includ-ing 8 malignant cases),2 cases of vagus nerve body tumor(including 1 malignant case),4 cases of carotid a-neurysm,and 2 cases of metastatic tumor in the neck involving the carotid artery.There were 22 cases who had previously received incomplete tumor resection.We performed carotid artery oppression on all of the 31 patients to evaluate the blood supply.Results:No intraoperative death or CNS complications were observed. Of the 3 patients who died of failure of disease control,one died of distant metastasis at 1 year after surgery, and the other two cases died of cancer relapse or distant metastasis at 2～5 years after surgery.The survival period of the other 28 cases ranged from 6 to 29 months.The 5-year survival rate of the 31 cases was 90.3%. Conclusion:Tumor and carotid artery resection without artery anastomosis is a safe procedure for patients with tumors in the neck,and it has a lower rate of postoperative complications including thrombus,infection, and vessel rupture.