Agrawal Nishant, Evasovich Maria R, Kandil Emad, Noureldine Salem I, Felger Erin A, Tufano Ralph P, Kraus Dennis H, Orloff Lisa A, Grogan Raymon, Angelos Peter, Stack Brendan C, McIver Bryan, Randolph Gregory W
Department of Surgery, Section of Otolaryngology - Head and Neck Surgery, University of Chicago, Chicago, Illinois.
Department of Surgery, University of Minnesota School of Medicine, Minneapolis, Minnesota.
Head Neck. 2017 Jul;39(7):1269-1279. doi: 10.1002/hed.24715. Epub 2017 Apr 27.
The primary purposes of this interdisciplinary consensus statement were to review the relevant indications for central neck dissection (CND) in patients with papillary thyroid cancer (PTC) and to outline the appropriate extent and relevant techniques required to accomplish a safe and effective CND.
A writing group convened by the American Head and Neck Society (AHNS) Endocrine Committee was tasked with identifying the important clinical elements to consider when managing the central neck compartment in patients with PTC based on available evidence in the literature, and the group's collective experience. The position statement paper was then submitted to the full Endocrine Committee, Education Committee, and AHNS Council.
This consensus statement was developed to inform the clinical decision-making process when managing the central neck compartment in patients with PTC from the AHNS. This document is intended to provide clarity through definitions as well as a basic guideline from which to manage the central neck. It is our hope that this improves the quality and reduces variation in management of the central neck, facilitates communication, and furthers research for patients with thyroid cancer.
This represents, in our opinion, contemporary optimal surgical care for this patient population and is endorsed by the American Head and Neck Society. © 2017 Wiley Periodicals, Inc. Head Neck 39: 1269-1279, 2017.
本跨学科共识声明的主要目的是回顾甲状腺乳头状癌（PTC）患者中央区颈清扫术（CND）的相关适应证，并概述完成安全有效的CND所需的适当范围和相关技术。
由美国头颈协会（AHNS）内分泌委员会召集的一个写作小组的任务是，根据文献中的现有证据以及该小组的集体经验，确定在处理PTC患者的中央颈部区域时需要考虑的重要临床因素。然后，该立场声明文件被提交给整个内分泌委员会、教育委员会和AHNS理事会。
本共识声明旨在为AHNS处理PTC患者中央颈部区域时的临床决策过程提供参考。本文档旨在通过定义以及管理中央颈部的基本指南来提供清晰的指导。我们希望这能提高中央颈部管理的质量并减少差异，促进沟通，并推动甲状腺癌患者的研究。
在我们看来，这代表了针对该患者群体的当代最佳手术治疗方法，并得到了美国头颈协会的认可。©2017威利期刊公司。《头颈》39: 1269 - 1279，2017年。
