Nigam Aradhya, Shaha Ashok R
Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY USA.
Head and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY USA.
Indian J Surg Oncol. 2025 Feb;16(1):5-7. doi: 10.1007/s13193-024-02150-2. Epub 2024 Dec 13.
While once considered "butchery," thyroid cancer surgery is now considered a safe surgery in the setting of the increasing incidence of thyroid nodules. Several changes in the approach to patients and advancements in technology have paved the way for the technical feasibility of thyroid surgery. International guidelines have enabled a personalized, and less invasive approach to patients and thus reducing the morbidity attributed tumors from potential injury to the recurrent laryngeal nerve or long-term thyroid hormone replacement- particularly for papillary microcarcinomas. Morbidity from hypocalcemia and nerve injury have further been improved by advancements including parathyroid localizing technology, nerve monitoring, molecular testing, and improved diagnostic imaging. As we continue to improve our understanding of the thyroid, so will the outcomes of patients who undergo thyroid cancer surgery. Advancements in the safety and feasibility of thyroid surgery remind us of the statement made by William Halsted: "thyroid surgery is a supreme triumph of the surgeon's heart."
虽然甲状腺癌手术曾被视为“屠宰术”，但在甲状腺结节发病率不断上升的背景下，如今它被认为是一种安全的手术。在对患者的治疗方法上的一些改变以及技术进步为甲状腺手术的技术可行性铺平了道路。国际指南使得能够对患者采用个性化且侵入性较小的方法，从而降低了因潜在损伤喉返神经或长期甲状腺激素替代导致的肿瘤相关发病率——尤其是对于微小乳头状癌。包括甲状旁腺定位技术、神经监测、分子检测以及改进的诊断成像等进步进一步改善了低钙血症和神经损伤导致的发病率。随着我们不断加深对甲状腺的了解，接受甲状腺癌手术患者的治疗效果也会不断改善。甲状腺手术安全性和可行性的进步让我们想起威廉·霍尔斯特德所说的话：“甲状腺手术是外科医生心灵的至高胜利。”
