The Carotid Fat Pad (CFP) Removal Method as a Modified Technique of the CFP Flip Method in Carotid Endarterectomy: Achieving a Bloodless Surgical Field through Active Deep Cervical Lymph Node Dissection

Katsunari Kiko; Taiki SAKO; Shunichiro HOSHI; Ken-u RYO; Takanori Suzuki; Kuniatsu Yamamoto; Takuya Moriwaki; Rokuya TANIKAWA

doi:10.2335/scs.54.100

January 1, 2026Surgery for Cerebral StrokeOpen Access

The Carotid Fat Pad (CFP) Removal Method as a Modified Technique of the CFP Flip Method in Carotid Endarterectomy: Achieving a Bloodless Surgical Field through Active Deep Cervical Lymph Node Dissection

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Key Points

This research aims to enhance the surgical approach in carotid endarterectomy by minimizing bleeding risks during lymph node dissection.
Introduces the carotid fat pad removal method as a surgical technique.
Focuses on dissection of deep cervical lymph nodes and surrounding fat tissue.
Evaluates effectiveness in creating a bloodless surgical field.
Achieving a clear surgical field without blood complications.
Facilitating better anatomical visualization during surgery.
Suggesting improved outcomes for carotid endarterectomy through this technique.

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Implication

Modified carotid fat pad removal method achieves a bloodless surgical field in carotid endarterectomy, suggesting improved surgical efficacy.

Abstract

CEAにおいて，解剖構造の正確な把握のためには無血での術野展開がきわめて重要であるが，頚部はリンパ節や腺組織が豊富で出血しやすく，特に深頚リンパ節が術野展開の妨げとなりやすい．本報では，内頚静脈直上にある深頚リンパ節とその周囲の脂肪組織塊（carotid fat pad：CFP）を一塊として摘出することで，無血で広く浅い術野展開が可能となるCFP removal methodを紹介する．

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Kiko et al. (2026) studied this question.

synapsesocial.com/papers/69d34d5c9c07852e0af97478 https://doi.org/10.2335/scs.54.100

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The Carotid Fat Pad (CFP) Removal Method as a Modified Technique of the CFP Flip Method in Carotid Endarterectomy: Achieving a Bloodless Surgical Field through Active Deep Cervical Lymph Node Dissection

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The Carotid Fat Pad (CFP) Removal Method as a Modified Technique of the CFP Flip Method in Carotid Endarterectomy: Achieving a Bloodless Surgical Field through Active Deep Cervical Lymph Node Dissection

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