Modified radical neck dissection with the preservation of cervical plexus for papillary thyroid cancer patients
- Author:
Xiao-Ping CHEN
1
Author Information
1. Department of General Surgery
- Publication Type:Journal Article
- Keywords:
Cervical plexus;
Neck dissection;
Surgical procedures, operative;
Thyroid neoplasms
- From:
Tumor
2007;27(9):752-754
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To utilize the modified radical neck dissection for the papillary thyroid cancer patients with the preservation of the muscle, cluster nerve, and main vasculature. Methods: Nineteen young patients with papillary thyroid cancer underwent functional neck dissection with the preservation of the muscle and cluster nerve in our hospital. Results: All the nineteen patients had no numbness in the ear, the lower part of neck and the shoulder after the surgery. There was no difference in electromyography before and after surgery. The appearance of the neck did not change. Conclusion: The indications of the modified radical neck dissection included (1) N0 stage papillary thyroid cancer; (2) N1 stage papillary thyroid cancer. The lymph nodes were limited in VI area or the diameter of the lymph nodes near the internal jugular vein was less than 3 cm without capsule invasion. The contraindications included irregular radical neck dissection history, wide cervical lymph node metastasis or the apparent invasion.