Central compartment reoperation for recurrent/persistent differentiated thyroid cancer
10.3760/cma.j.issn.1673-0860.2017.04.005
- VernacularTitle: 甲状腺癌中央区域再次手术并发症的临床分析
- Author:
Yabing ZHANG
1
;
Bin ZHANG
2
;
Dangui YAN
1
;
Xiwei ZHANG
1
;
Zhengang XU
1
;
Pingzhang TANG
1
Author Information
1. Department of Head and Neck Surgery, Cancer Hospital(Institute), Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100021, China
2. Department of Head and Neck Surgery, Peking University Cancer Hospital & Institute, Beijing 100142, China
- Publication Type:Journal Article
- Keywords:
Thyroid neoplasms;
Reoperation;
Postoperative complications
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2017;52(4):263-266
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the incidences of complications after central compartment reoperation for recurrent/persistent differentiated thyroid cancer, and to investigate the safety and feasiblity of central compartment reoperation.
Methord:A total of 109 patients who underwent central compartment reoperation for recurrent/persistent differentiated thyroid cancer from January 1, 2011 to March 31, 2016 in Cancer Hospital, Chinese Academy of Medical Sciences was analysed retrospectively, and the incidences of reoperation-related complications were evaluated.
Results:Among 109 patients, only 10 (9.2%) patients were treated initially in our hospital and remaining patients (90.8%) treated initially in the other hospitals. Surgical approaches for thyroid beds: 61 patients (56.0%) underwent supplemented total thyroidectomy, 3 patients (2.8%) for removal of recurrent thyroid cancer, 2 patients (1.8%) with supplemented total thyroidectomy and removal of recurrent thyroid cancer, and 12 cases (11.0%) had bilateral thyroid lobectomy. Central compartment lymph node dissection: 66 patients (60.6%) underwent bilateral central neck dissection, 40 patients (36.7%) with unilateral central neck dissection. A total of 16 patients (14.7%) had complications. Transient and permanent vocal fold paralysis developed in 9(8.3%) and 2(1.8 %) patients, respectively. Transient and permanent hypoparathyroidism occurred in 2(1.8%) patients and 11 patients (10.1%), respectively. Postoperative bleeding happened in 1 patient (0.9%). with follow-up from 7 to 61 month, median follow-up was 17.2 months. All patients survived, with recurrence in 3 (2.8%) patients.
Conclusions:It seems the incidences of complications for thyroid carcinoma reoperation in central compartment is low for the experienced surgeon. The reoperation was safe and feasible.
