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作 者:章德广[1]
机构地区:[1]浙江大学医学院附属邵逸夫医院头颈外科,浙江杭州310016
出 处:《中国普通外科杂志》2017年第12期1529-1535,共7页China Journal of General Surgery
摘 要:改良Miccoli腔镜辅助颈侧区清扫术是集手术安全性、肿瘤根治性、微创及美容于一体的理想术式,同时该手术接近传统开放手术,易于学习。笔者结合近5年400余例改良Miccoli腔镜辅助颈侧区清扫术的经验,从手术适应证选择、手术操作空间建立、手术器械选择及运用技巧、流程化手术操作步骤及注意事项进行详细描述。Modified video-assisted lateral neck dissection (M-VALND) is an ideal surgical technique that incorporates surgical safety, oncological completeness, minimal invasiveness and cosmetic satisfaction. At the same time, the M-VALND is characteristically close to the traditional open surgery and easily reproducible. The author, based on personal experience in more than 400 cases of M-VALND during recent 5 years, describes the procedure in detail and in terms of the selection of surgical indications, creation of surgical working space, choice of surgical instruments and their application techniques, as well as the procedural surgical steps and attention points.
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