Ruggiero Francis P, Fedok Fred G
Division of Otolaryngology-Head & Neck Surgery, Penn State Milton S. Hershey Medical Center, Hershey, PA 17033, USA.
Otolaryngol Clin North Am. 2008 Dec;41(6):1261-8, xii. doi: 10.1016/j.otc.2008.06.003.
The recommended initial treatment for locoregional recurrence of thyroid cancer is surgery. Of most value to the surgeon considering reoperation for thyroid cancer is the impact that such procedures have on patient survival; the data in this regard are limited. Also of great interest to the surgeon is morbidity associated with reoperation. Because these patients have already had a total or near total thyroidectomy, reoperation requires a surgical revisiting of an already operated bed; intuitively, one might predict a higher rate of complications owing to scar tissue. This article reviews the evidence regarding rates of various complications.
甲状腺癌局部区域复发的推荐初始治疗方法是手术。对于考虑对甲状腺癌进行再次手术的外科医生来说，此类手术对患者生存率的影响最为重要；这方面的数据有限。再次手术相关的发病率也是外科医生非常感兴趣的。由于这些患者已经接受了甲状腺全切除术或近全切除术，再次手术需要在已经手术过的部位进行再次手术；直观地说，人们可能会预测由于瘢痕组织导致并发症的发生率会更高。本文回顾了有关各种并发症发生率的证据。
