radical lymphadenectomy

Lymphoid origin in the ear, nose and throat of the cancer, a cervical lymph node metastasis can be radical resection. Treatment of diseases: laryngeal cancer Indication 1. The ear, nose and throat cancer has cervical lymphadenopathy, hard, active, clinical diagnosis of cervical lymph node metastasis (or suspicious metastasis), and the primary site cancer has been controlled or estimated to be controlled. Possible radical cervical lymph node resection. 2. The cervical lymph nodes are obviously swollen, hard and difficult to promote, and the clinical diagnosis is more advanced cancer metastasis, but there is no firm adhesion to the internal carotid artery or anterior fascia. The primary site of cancer is still hopeful to control, no distant organ cancer metastasis. Radical neck lymphadenectomy can also be performed. 3. In the case of cervical cancer with cervical lymph node metastasis, in order to obtain treatment time, radical neck lymph node resection can be completed at the same time as full laryngectomy. Even if there are bilateral cervical lymph node metastasis, bilateral lymph node resection can be performed, but the contralateral surgery is preferably postponed 2 weeks after the first operation, so that there is time to train the internal jugular vein to adapt to intracranial venous return. 4. There is a high probability of clinically cervical lymph node metastasis in a small number of cases, and there is a lack of close follow-up conditions for preventive resection. 5. For N1 localized cervical lymph node metastasis, functional cervical lymph node dissection can be used. Contraindications There are no contraindications after lymphadenectomy. Preoperative preparation 1. Before the operation, you must do a more detailed physical examination, including chest X-ray and liver and kidney function tests. Patients with suspected cardiovascular diseases should be examined by electrocardiogram and properly treated with medical consultation. 2. Prepare blood. 3. Patients with laryngeal cancer, if there is a laryngeal obstruction, it is advisable to perform a tracheotomy before surgery.