Napolitano L, Francomano F, Francione T, Napolitano A M
Dipartimento di Scienze Chirurgiche, Università degli Studi di Chieti.
G Chir. 2002 May;23(5):181-4.
The Authors examine etiology, incidence and hazards related to reoperation in thyroid surgery either for benign either for malignant pathology. The Authors present, then, 26 secondary operations performed in the Unit of Surgical Pathology of the Department of Surgical Sciences Chieti University: 15 for benign, 11 for malignant pathology. In the cases of thyroid malignant pathology, in 2 patients (operated in different hospitals) there was a parenchimatous recurrence, in 2 patients a lymphnodal recurrence. In all the patients a total thyroidectomy was performed, in one patient associated with lymphadenectomy. In the patients with lymphadenomatous recurrence a functional laterocervical lymphadenectomy was performed.
作者研究了甲状腺手术再次手术相关的病因、发生率及风险，这些手术针对的病理情况既有良性的也有恶性的。作者随后展示了在基耶蒂大学外科学系外科病理学单元进行的26例二次手术：15例为良性病变，11例为恶性病变。在甲状腺恶性病变的病例中，2例患者（在不同医院接受手术）出现了实质复发，2例出现了淋巴结复发。所有患者均接受了全甲状腺切除术，1例患者同时进行了淋巴结清扫术。对于出现淋巴结腺瘤复发的患者，进行了功能性颈侧淋巴结清扫术。
