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头颈部肿瘤外科手术中的技术改进。

Surgical technique refinements in head and neck oncologic surgery.

机构信息

Head and Neck Service, Memorial Sloan-Kettering Cancer Center, New York, New York 10065, USA.

出版信息

J Surg Oncol. 2010 Jun 15;101(8):661-8. doi: 10.1002/jso.21454.

DOI:10.1002/jso.21454
PMID:20512941
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2957802/
Abstract

The head and neck region poses a challenging arena for oncologic surgery. Diseases and their treatment can affect a myriad of functions, including sight, hearing, taste, smell, breathing, speaking, swallowing, facial expression, and appearance. This review discusses several areas where refinements in surgical techniques have led to improved patient outcomes. This includes surgical incisions, neck lymphadenectomy, transoral laser microsurgery, minimally invasive thyroid surgery, and the use of vascularized free flaps for oromandibular reconstruction.

摘要

头颈部是肿瘤外科极具挑战性的领域。疾病及其治疗方法会影响众多功能,包括视力、听力、味觉、嗅觉、呼吸、说话、吞咽、面部表情和外观。本文讨论了一些领域,其中手术技术的改进带来了患者预后的改善。这包括手术切口、颈部淋巴结清扫术、经口激光微创手术、微创甲状腺手术以及血管化游离皮瓣用于口腔颌面部重建。

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本文引用的文献

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Recent findings in the use of intraoperative parathyroid hormone monitoring in parathyroid disease.甲状旁腺疾病中术中甲状旁腺激素监测应用的最新研究结果
Curr Opin Oncol. 2009 Jan;21(1):18-22. doi: 10.1097/cco.0b013e328319ec2f.
2
Natural orifice surgery on thyroid gland: totally transoral video-assisted thyroidectomy (TOVAT): report of first experimental results of a new surgical method.甲状腺自然腔道手术:完全经口视频辅助甲状腺切除术(TOVAT):一种新手术方法的首次实验结果报告
Surg Endosc. 2009 May;23(5):1119-20. doi: 10.1007/s00464-009-0347-0. Epub 2009 Mar 5.
3
Surgical treatment of low- and intermediate-risk papillary thyroid cancer with minimally invasive video-assisted thyroidectomy.采用微创电视辅助甲状腺切除术治疗低危和中危乳头状甲状腺癌
J Clin Endocrinol Metab. 2009 May;94(5):1618-22. doi: 10.1210/jc.2008-1418. Epub 2009 Feb 17.
4
A randomized controlled trial of minimally invasive thyroidectomy using the lateral direct approach versus conventional hemithyroidectomy.一项关于采用外侧直接入路的微创甲状腺切除术与传统半甲状腺切除术的随机对照试验。
Surgery. 2008 Dec;144(6):1016-21; discussion 1021-2. doi: 10.1016/j.surg.2008.07.024.
5
Feasibility study of day case thyroidectomy.
ANZ J Surg. 2008 Oct;78(10):864-6. doi: 10.1111/j.1445-2197.2008.04681.x.
6
Rationale for modifying neck dissection.
J Surg Oncol. 2008 Jun 15;97(8):674-82. doi: 10.1002/jso.21016.
7
Comparison of drain versus no drain thyroidectomy: randomized prospective clinical trial.甲状腺切除术引流与不引流的比较:随机前瞻性临床试验
J Otolaryngol Head Neck Surg. 2008 Feb;37(1):43-7.
8
Minimally invasive thyroid surgery for single nodules: an evidence-based review of the lateral mini-incision technique.单结节的微创甲状腺手术:外侧小切口技术的循证综述
World J Surg. 2008 Jul;32(7):1341-8. doi: 10.1007/s00268-008-9554-4.
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"Scarless" (in the neck) endoscopic thyroidectomy (SET): an evidence-based review of published techniques.“无痕”(颈部)内镜甲状腺切除术(SET):已发表技术的循证综述
World J Surg. 2008 Jul;32(7):1349-57. doi: 10.1007/s00268-008-9555-3.
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What is the evidence for endoscopic thyroidectomy in the management of benign thyroid disease?在内科治疗良性甲状腺疾病中,内镜甲状腺切除术的证据是什么?
World J Surg. 2008 Jul;32(7):1325-32. doi: 10.1007/s00268-008-9505-0.