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如何操作:复杂的甲状腺病例

How to do it: the difficult thyroid.

作者信息

Upile Tahwinder, Jerjes Waseem, Mahil Jaspal, Tailor Hitesh, Balakumar Ramkishan, Rao Anuja, Qureshi Yassar, Bowman Iain, Mukhopadhyay Suchana

机构信息

Department of ENT/Head and Neck Surgery, Barnet and Chase Farm Hospitals NHS Trust, Enfield, UK.

出版信息

Head Neck Oncol. 2011 Dec 23;3:54. doi: 10.1186/1758-3284-3-54.

DOI:10.1186/1758-3284-3-54
PMID:22196157
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3261091/
Abstract

There is a paucity of publications detailing how to deal with the difficult thyroid cancer. When compared to other cancers, it is relatively rare with several histopathological subtypes which run differing clinical courses and respond to different therapies. It is a condition predominately treated by specifically trained General and now ENT surgeons who already have a thorough knowledge of vocal fold assessment and rehabilitation as well as emergency airways management both to avoid and treat common complications should they occur.Good surgery involves a team effort to produce good results consistently. All members of the team are essential to quality service delivery. Communication with the team and the patient is paramount. We describe our approach to the difficult thyroid.

摘要

关于如何处理难治性甲状腺癌的详细出版物很少。与其他癌症相比,它相对罕见,有几种组织病理学亚型,其临床病程不同,对不同疗法的反应也不同。这种疾病主要由经过专门培训的普通外科医生以及现在的耳鼻喉科医生治疗,他们已经对声带评估和康复以及紧急气道管理有深入了解,以便在出现常见并发症时避免并进行治疗。良好的手术需要团队协作才能持续产生良好的效果。团队的所有成员对于提供优质服务都至关重要。与团队和患者的沟通至关重要。我们描述了我们处理难治性甲状腺疾病的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d923/3261091/4f3d54627d38/1758-3284-3-54-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d923/3261091/89606c9fbfa0/1758-3284-3-54-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d923/3261091/afd34b00e7b9/1758-3284-3-54-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d923/3261091/fc1433166949/1758-3284-3-54-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d923/3261091/4f3d54627d38/1758-3284-3-54-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d923/3261091/89606c9fbfa0/1758-3284-3-54-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d923/3261091/afd34b00e7b9/1758-3284-3-54-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d923/3261091/fc1433166949/1758-3284-3-54-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d923/3261091/4f3d54627d38/1758-3284-3-54-4.jpg

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1
How to do it: the difficult thyroid.如何操作:复杂的甲状腺病例
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[Thyroid gland surgery. Introduction].[甲状腺手术。引言]
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引用本文的文献

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Arch Med Sci. 2019 Jun 7;17(5):1294-1302. doi: 10.5114/aoms.2019.85737. eCollection 2021.
2
Patient, thyroid, and surgeon related factors that make thyroidectomy difficult-cohort study.导致甲状腺切除术困难的患者、甲状腺及外科医生相关因素——队列研究
Ann Med Surg (Lond). 2019 Nov 23;49:14-18. doi: 10.1016/j.amsu.2019.11.010. eCollection 2020 Jan.
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An evaluation score of the difficulty of thyroidectomy considering operating time and preservation of recurrent laryngeal nerve.

本文引用的文献

1
Thyroid carcinoma: the surgeon's perspective.甲状腺癌:外科医生的视角
Radiol Clin North Am. 2011 May;49(3):463-71, vi. doi: 10.1016/j.rcl.2011.02.007.
2
How we do it: a method of neck dissection for histopathological analysis.我们的做法:一种用于组织病理学分析的颈部清扫术方法。
BMC Surg. 2007 Oct 31;7:21. doi: 10.1186/1471-2482-7-21.
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Probability of adverse events that have not yet occurred: a statistical reminder.尚未发生的不良事件的概率:一则统计学提示。
考虑手术时间和喉返神经保护的甲状腺切除术难度评估评分。
Updates Surg. 2019 Sep;71(3):569-577. doi: 10.1007/s13304-018-0604-7. Epub 2018 Nov 15.
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Effect of Intraoperative Valsalva Maneuver Application on Bleeding Point Detection and Postoperative Drainage After Thyroidectomy Surgeries.术中应用瓦尔萨尔瓦动作对甲状腺切除术后出血点检测及术后引流的影响
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Identifying predictors of a difficult thyroidectomy.确定甲状腺切除术困难的预测因素。
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Novel thyroidectomy difficulty scale correlates with operative times.新型甲状腺切除术难度量表与手术时间相关。
World J Surg. 2014 Aug;38(8):1984-9. doi: 10.1007/s00268-014-2489-z.
BMJ. 1995 Sep 2;311(7005):619-20. doi: 10.1136/bmj.311.7005.619.
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If nothing goes wrong, is everything all right? Interpreting zero numerators.如果没有出现问题,一切就都好吗?解读零分子情况。
JAMA. 1983 Apr 1;249(13):1743-5.