Use of en bloc principle in re-operation of thyroid carcinoma
10.3760/cma.j.issn.1673-0860.2009.04.002
- VernacularTitle:连续整块切除原则在甲状腺癌二次手术中的应用
- Author:
Wen-Bin YU
1
;
Nai-Song ZHANG
;
Zong-Yuan ZENG
Author Information
1. 北京大学临床肿瘤学院北京肿瘤医院
- Keywords:
Thyroid neoplasms;
Adenocarcinoma,papillary;
Neoplasm,residual;
Lymphatic metastasis;
Thyroidectomy;
Neck dissection
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2009;44(4):268-271
- CountryChina
- Language:Chinese
-
Abstract:
Objective The study is to explore the extent, main-point and use of en bloc principle in re-operation of thyroid carcinoma. Methods Clinical data of 75 patients received re-operation from 2002 to 2006 because of nonstandard operation were reviewed, including 10 men, 65 women, age ranging from 21-56. lpailateral completing lobectumy, isthmectomy, ipsilateral anterior cervical muscle, and level Ⅵ dissetion were done in all the patients by en bloc principle. Results Residual tumor was found in 39 cases. There were, 10 in primary site, 8 in Ⅵ level, and 21 in beth. Therefore tumor residual rate was 52.0%. The total metastatic lymph nodes in Ⅵ level were 63. Among the eight patients with recurrent laryngeal nerves paralyses which were hurt in the first operation, 4 were found been cut completely, 4 were ligated. The ligated locations were all near the place which the nerve enter the larynx. The ligated nerves were released, and the patients voice was improved greatly. Conclusions Ipsilateral completing Iobectomy, isthmectomy, ipsilateral anterior cervical muscle and Ⅵ level dissetion is adequate for thyroid carcinoma patients who received nonstandard operation. The principle of en bloc resection can be used in the reoperation of thyroid carcinoma.
