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surgical / surgicalsurgical oncology

Remco de Bree

雷姆科·德布里

MD, PhD

🏢University Medical Center Utrecht(乌特勒支大学医学中心)🌐Netherlands

Professor of Head and Neck Surgical Oncology; Head, Head and Neck Surgical Oncology头颈外科肿瘤学教授;头颈外科肿瘤科主任

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Key Papers
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Key Contributions

👥Biography 个人简介

Remco de Bree, MD, PhD is Professor of Head and Neck Surgical Oncology and Head of the Head and Neck Surgical Oncology program at University Medical Center Utrecht (UMCU), one of Europe's leading comprehensive cancer centers. He is among the most productive and internationally recognized head and neck surgical oncologists in Europe, with particular expertise in free flap reconstructive surgery following major head and neck cancer resections, sentinel lymph node biopsy in oral cavity cancer, and minimally invasive endoscopic and robotic approaches to head and neck malignancies. Dr. de Bree is a founding investigator of the SENT (Sentinel Node Trial) — the landmark European multicenter trial that validated sentinel node biopsy as a safe and accurate staging procedure for clinically node-negative oral cancer (T1-2 N0), demonstrating that SLN biopsy identifies occult nodal metastases with a sensitivity of 86% and spares the majority of patients from elective neck dissection. The trial results, published in The Lancet Oncology, have led to integration of SLN biopsy into European head and neck cancer guidelines as an alternative to elective neck dissection. Beyond sentinel node work, Dr. de Bree has led major clinical studies on functional outcomes after reconstructive surgery, including tongue and mandibular reconstruction with vascularized free flaps, optimization of anastomotic techniques, and integration of virtual surgical planning and 3D-printed cutting guides into jaw reconstruction. He has also contributed extensively to research on transoral robotic surgery (TORS) for oropharyngeal cancer, demonstrating functional and survival outcomes comparable to radiation in selected patients.

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🧪Research Fields 研究领域

Head and Neck Cancer Surgery头颈部癌症外科
Reconstructive Surgery After Head and Neck Resection头颈部切除后重建手术
Free Flap Reconstruction游离皮瓣重建
Sentinel Node in Oral Cancer口腔癌前哨淋巴结
Minimally Invasive Head and Neck Surgery微创头颈外科

🎓Key Contributions 主要贡献

SENT Trial — Sentinel Node Biopsy in Oral Cancer

Co-led the multicenter SENT trial validating sentinel lymph node biopsy in T1-2 N0 oral squamous cell carcinoma, demonstrating 86% sensitivity for occult nodal metastases and a sentinel node procedure-related complication rate of 6% versus 15% for elective neck dissection, integrating SLN biopsy into European head and neck guidelines.

Functional Outcomes After Free Flap Head and Neck Reconstruction

Produced landmark prospective studies of swallowing, speech, and quality of life outcomes after free flap reconstruction of oral cavity, oropharynx, and mandible defects, demonstrating that reconstruction type, extent, and RT combination significantly predict functional recovery and informing patient counseling standards.

Virtual Surgical Planning in Mandibular Reconstruction

Led prospective implementation studies demonstrating that computer-aided virtual surgical planning with 3D-printed cutting guides and patient-specific titanium plates significantly reduces operative time, improves occlusal outcomes, and reduces complications in fibula free flap mandibular reconstruction.

Representative Works 代表性著作

[1]

Sentinel Node Biopsy for Oral Cancer: Results of the International Multicenter Trial SENT

The Lancet Oncology (2015)

Prospective multicenter validation of SLN biopsy accuracy in 415 T1-2 N0 oral cancer patients, reporting 86% sensitivity and 14% false-negative rate, supporting SLN biopsy as an alternative to elective neck dissection in selected patients.

[2]

Quality of Life and Functional Outcomes After Tongue and Oropharyngeal Reconstruction: Five-Year Multicenter Prospective Study

Head & Neck (2024)

Five-year longitudinal analysis of swallowing and speech outcomes in 320 patients after free flap reconstruction for oral and oropharyngeal cancer, identifying reconstruction type and RT exposure as primary determinants of long-term functional outcomes.

🏆Awards & Recognition 奖项与荣誉

🏆European Head and Neck Society (EHNS) Excellence in Research Award
🏆Dutch Cancer Society (KWF) Senior Investigator Award
🏆International Federation of Head and Neck Oncologic Societies (IFHNOS) Distinguished Member

📄Data Sources 数据来源

Last updated: 2026-01-15 | All information from publicly available academic sources

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