Reoperation for differentiated thyroid carcinoma after local resection
10.3760/cma.j.issn.1674-6090.2012.04.007
- VernacularTitle:分化型甲状腺癌局部切除术后再手术方式及治疗
- Author:
Peishun WANG
;
Honghao LI
;
Miaoyun LONG
;
Dingyuan LUO
;
Mingqing HUANG
;
Xinzhi PENG
- Publication Type:Journal Article
- Keywords:
Differentiated thyroid carcinoma;
Reoperation
- From:
Journal of Endocrine Surgery
2012;06(4):237-239
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the extent of reoperation for patients of differentiated thyroid carcinoma(DTC) who require total thyroidectomy.Methods The data of 137 patients undergoing reoperation for DTC were analyzed.These 137 patients were firstly diagnosed as benigh tumors and underwent local resection in our department from June 2004 to June 2010,however,they were proved to be DTC by postoperative pathology.Results In the reoperation,78 cases received ipsilateral residual thyroid resection plus contralateral lobectomy,11 cases received contralateral lobectomy,4 cases received contralateral near total lobectomy,22 cases received bilateral remnant resection,15 cases received ipsilateral remnant resection plus isthmuscectomy,and 7 cases received contralateral remnant resection.46 cases received unilateral cervical lymph node dissection,and 15 cases received bilateral cervical lymph node dissection.The incidence of temporary and permanent recurrent laryngeal nerve injury was 2.9％ (4/137)and 0.7％ (1/137) respectively.The incidence of temporary and permanent hypoparathyroidism was 3.6％ ( 5/137 ) and 1.5％ (2/137) respectively.There was no clinical evidence of recurrence or cervical lymph node metastasis during the 6 months to 6 years of follow-up.Conclusions For DTC patients after local resection,reoperation methods should be selected according to the first operation and pathological results.Careful operation can effectively reduce complications and improve prognosis.
