[Patient scheduled for ligation of the contralateral internal jugular vein and its reconstruction following unilateral radical neck dissection].
A 76-year-old man who had previously undergone unilateral radical neck dissection (RND) was scheduled for contralateral radical neck dissection and reconstruction of the internal jugular vein (IJV) with the saphenous vein due to local recurrence of thyroid carcinoma infiltrating the IJV Reconstruction of the IJV was not necessary, however, because the preserved IJV was large enough to drain venous return after partial resection of the tumor-infiltrated part of the IJV. Reports of anesthetic management for bilateral RND are very rare. In this report, we discussed anesthetic management of bilateral RND including physiological changes and complications after bilateral IJV ligation and monitoring methods for disturbances of cerebral venous circulation.
Department of Anesthesiology, Nara Medical University, Kashihara 634-8522.
Tetsuya
T
Segawa
Satoki
S
Inoue
Yuki
Y
Terada
Hironobu
H
Hayashi
Masahiko
M
Kawaguchi
Hitoshi
H
Furuya
D000368:Aged; D006801:Humans; D007601:Jugular Veins / Q000601:surgery*; D008026:Ligation; D008297:Male; D037981:Neck Dissection; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D013964:Thyroid Neoplasms / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods*