Department of Surgery, Division of Head and Neck, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, Room C-1075, New York, NY 10065, USA.
Department of Otolaryngology, Division of Thyroid and Parathyroid Endocrine Surgery, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114, USA.
Endocrinol Metab Clin North Am. 2019 Mar;48(1):125-141. doi: 10.1016/j.ecl.2018.11.003.
This article focuses on conventional surgical management of thyroid cancer, reviewing long-standing and well-accepted main principles and practices. It also covers newer controversies and techniques to conventional thyroidectomy, including changes in the indications for thyroidectomy, the intraoperative management of the recurrent and superior laryngeal nerves and parathyroid glands, the extent of thyroidectomy, and the importance of outcomes measurement and quality improvement.
本文重点介绍甲状腺癌的常规手术治疗,回顾长期以来被广泛认可的主要原则和实践。它还涵盖了传统甲状腺切除术的一些新争议和新技术,包括甲状腺切除术适应证的变化、喉返神经和甲状旁腺的术中管理、甲状腺切除术的范围,以及结果测量和质量改进的重要性。