総頸動脉結紮の経験

頸部悪性腫瘍治療のために

抄録

The patient was a male miner, 64, suffering from mild hypertension and arteriosclerosis.
This operation was performed to remove a metastatic tumor in the left upper neck region which had developed about nine months after the primary operation of lingual cancer: partial resection of the tongue and radical dissection of the left neck.
In order to avoid severe results from the rupture of the carotid during or after the operation, the left common carotid was first ligated and then the metastatic tumor was resected.
Although it is not certain which of the following prophylactic measures was specially effective, no complication developed from the ligature of the common carotid: heavy irradiation, negative matas' test, repeated compression of the left common carotid before the operation, step by step ligation with the catgut, sufficient blood transfusion during the operation, atropinization, absolute rest of long period after the operation.