Radical resection of thyroid papillocarcinoma patients without lateral neck lymph node metastasis
10.3760/cma.j.issn.1007-631X.2010.01.012
- VernacularTitle:无颈侧淋巴结转移的甲状腺乳头状癌根治术
- Author:
Wenbin YU
;
Naisong ZHANG
;
Zongyuan ZENG
- Publication Type:Journal Article
- Keywords:
Thyroid neoplasms;
Thyroidectomy;
Recurrent laryngeal nerve
- From:
Chinese Journal of General Surgery
2010;25(1):34-36
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate radical resection for thyroid carcinoma in patients without lateral neck lymph node metastasis.Methods Clinical data of 132 thyroid carcinoma patients without lateral neck lymph node metastasis undergoing radical thyroidectomy were retrospectively analyzed.Results There were 35 male and 97 female patients.Age ranged from 18 to 62 years,median age was 34.2 years.All patients underwent ipsilateral lobectomy plus isthmectomy and Ⅵ level dissection.The rate of recurrent laryngeal nerve injury was 4.5% (6/132).Taking into account of tumor invaded nerve,the rate of dissection procedure caused injury was 1.6% (2/128).Conclusion Combination of ipsilateral lobectomy plus isthmectomy and Ⅵ level dissection constitutes radical thyroidectomy in papillocarcinoma of the thyroid gland without lateral neck lymph node metastasis,recurrent laryngeal nerve exposure is the key for this en bloc resection.
