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甲状腺切除术的完成:经颈入路和远程入路的时机重要吗?

Completion thyroidectomy: is timing important for transcervical and remote access approaches?

作者信息

Dueñas Juan Pablo, Duque Carlos Simón, Cristancho Laura, Méndez Manuela

机构信息

Hospital Pablo Tobón Uribe, Instituto de Cancerología IDC Las Américas, Clínica Universitaria Bolivariana, Clínica el Rosario Sede el Tesoro (CLID), Medellín, Colombia.

Universidad Militar Nueva Granada, Bogotá, DC, Colombia.

出版信息

World J Otorhinolaryngol Head Neck Surg. 2020 Jun 30;6(3):165-170. doi: 10.1016/j.wjorl.2020.02.006. eCollection 2020 Sep.

Abstract

Completion thyroidectomy (CT) is employed after lobectomy when histopathological results mandates total removal of the gland as in case of well differentiated thyroid carcinoma (DTC). It is also employed as a second stage thyroid surgery when unfavorable events occur as in recurrent laryngeal nerve injury or when the surgeon finds out the case is beyond his/her expertise in an attempt to protect the contralateral side and allowing time for recovery or for an expert surgeon to help.

摘要

当甲状腺叶切除术后组织病理学结果表明需要全切甲状腺时,如在分化型甲状腺癌(DTC)的情况下,需进行甲状腺全切除术(CT)。当出现不良事件,如喉返神经损伤,或外科医生发现病例超出其专业能力范围时,为保护对侧并留出恢复时间或让专家外科医生提供帮助,也会将其作为二期甲状腺手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf2d/7548381/df2534deb5b2/gr1.jpg

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