Operation for differentiated thyroid cancer: a experience of 546 cases.
- Author:
Zhi LI
1
;
Chun-ping LIU
;
Lan SHI
;
Tao HUANG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Female; Humans; Male; Middle Aged; Neck Dissection; Postoperative Complications; prevention & control; Retrospective Studies; Thyroid Neoplasms; surgery; Thyroidectomy; adverse effects; methods
- From: Chinese Journal of Surgery 2008;46(5):375-377
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo approach reasonable operational mode of differentiated thyroid cancer.
METHODSRetrospectively review 546 differentiated thyroid cancer patients who received bilateral thyroidectomy with or without cervical lymph node excision from January 2001 to December 2006.
RESULTSNo death case happened during operation and hospitalization. The positive percentage of cervical lymph node metastasis was 76.2% (358/470). The incidence rate of single lateral recurrent laryngeal nerve injury was 1.1% (6 cases), parathyroid gland partly injury was 0.4% (2 cases), superior laryngeal nerve injury was 0.7% (4 cases), bleeding was 0.6% (3 cases) and esophagus injury after operation was 0.2% (1 case). There were no bilateral recurrent laryngeal nerve injury found.
CONCLUSIONSTotal thyroidectomy is an essential operational mode for differentiated thyroid cancer. It is necessary to excise cervical lymph node when the tumor's diameter exceeds 1 cm.
