Tran Justin, Zafereo Mark
Department of Head and Neck Surgery, MD Anderson Cancer Center, Houston, Texas, USA.
VideoEndocrinology. 2020 Dec 28;7(4). doi: 10.1089/ve.2020.0199. eCollection 2020.
Lateral neck metastases occur in ~15% of papillary thyroid cancer and in ~40% of medullary thyroid cancer. We present herein a systematic approach to a standard comprehensive lateral neck dissection, with attention to specific areas where thyroid cancer lymph node metastases may be missed during surgery. Video demonstration of a comprehensive levels 2a, 3, 4, and 5b lateral neck dissection for thyroid cancer. A systematic step-wise approach to a standard comprehensive lateral neck dissection for thyroid cancer, inclusive of levels 2a, 3, 4, and 5b, is demonstrated. Areas where thyroid cancer lateral neck lymph nodes can be missed are noted, including low level 4 nodes and carotid-vertebral nodes, level 5B nodes, and subdigastric level 2 nodes medial to the carotid artery. A step-wise systematic approach to a comprehensive lateral neck dissection for thyroid cancer may lower the risk for missed thyroid cancer lateral neck lymph node metastases. No competing financial interests exist. Runtime of video: 8 mins 35 secs.
约15%的甲状腺乳头状癌和约40%的甲状腺髓样癌会出现侧颈转移。我们在此介绍一种标准的全面侧颈清扫术的系统方法，重点关注手术中可能遗漏甲状腺癌淋巴结转移的特定区域。甲状腺癌2a、3、4和5b区全面侧颈清扫术的视频演示。展示了一种针对甲状腺癌的标准全面侧颈清扫术的系统逐步方法，包括2a、3、4和5b区。指出了可能遗漏甲状腺癌侧颈淋巴结的区域，包括低位4区淋巴结和颈动脉-椎体淋巴结、5B区淋巴结以及颈动脉内侧的二腹肌下2区淋巴结。一种针对甲状腺癌的全面侧颈清扫术的逐步系统方法可能会降低遗漏甲状腺癌侧颈淋巴结转移的风险。不存在利益冲突。视频时长：8分35秒。
