再次手术中央区淋巴结清扫中甲状旁腺保护的难点及策略_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 程若川 , 刘文

昆明医科大学第一附属医院甲状腺疾病诊治中心（昆明 650031）;

Corresponding author：

程若川, Email: cruochuan@foxmail.com

Keywords：

DOI：

10.7507/1007-9424.201707100

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Citation： 程若川, 刘文. 再次手术中央区淋巴结清扫中甲状旁腺保护的难点及策略. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(10): 1173-1179. doi: 10.7507/1007-9424.201707100 Copy

1.	Chen W, Zheng R, Zhang S, et al. Cancer incidence and mortality in China in 2013: an analysis based on urbanization level. Chin J Cancer Res, 2017, 29(1): 1-10.
2.	Haugen BR, Alexander EK, Bible KC, et al. 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: the American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid, 2016, 26(1): 1-133.
3.	中华医学会内分泌学分会, 中华医学会外科学分会内分泌学组, 中国抗癌协会头颈肿瘤专业委员会, 等. 甲状腺结节和分化型甲状腺癌诊治指南. 中华内分泌代谢杂志, 2012, 28(10): 779-797.0.
4.	Mitchell AL, Gandhi A, Scott-Coombes D, et al. Management of thyroid cancer: United Kingdom National Multidisciplinary Guidelines. J Laryngol Otol, 2016, 130(S2): S150-S160.
5.	郑鲁明, 贺青卿, 庄大勇, 等. 分化型甲状腺癌再次手术 57 例临床分析. 中国现代普通外科进展, 2014, 17(8): 598-601.0.
6.	李向阳, 丁友宏, 邱亮, 等. 分化型甲状腺癌再次手术 97 例临床分析. 山东医药, 2013, 53(30): 62-63.0.
7.	郑绪才, 王圣应, 朱正志, 等. 分化型甲状腺癌再次手术的临床分析. 安徽医学, 2015, 36(9): 1074-1076.0.
8.	陈卫贤, 蒋斌, 顾云飞, 等. 分化型甲状腺癌再次手术的原因和策略. 中国眼耳鼻喉科杂志, 2014, 14(1): 42-43.0.
9.	王莎飞. 甲状腺癌不规范手术后再手术相关问题的探讨. 基层医学论坛, 2015, 19(31): 4349-4350.0.
10.	许德斌, 吕云霞, 陈万志, 等. 甲状腺癌再次手术的原因及手术方案分析. 江西医药, 2016, 51(6): 524-526.0.
11.	李洁清, 魏涛, 朱启波, 等. 甲状腺乳头状癌再次手术的原因探讨. 中国普外基础与临床杂志, 2012, 19(8): 818-822.0.
12.	Manouras A, Markogiannakis H, Lagoudianakis E, et al. Unintentional parathyroidectomy during total thyroidectomy. Head Neck, 2008, 30(4): 497-502.
13.	Gourgiotis S, Moustafellos P, Dimopoulos N, et al. Inadvertent parathyroidectomy during thyroid surgery: the incidence of a complication of thyroidectomy. Langenbecks Arch Surg, 2006, 391(6): 557-560.
14.	Paek SH, Lee YM, Min SY, et al. Risk factors of hypoparathyroidism following total thyroidectomy for thyroid cancer. World J Surg, 2013, 37(1): 94-101.
15.	Ondik MP, McGinn J, Ruggiero F, et al. Unintentional parathyroidectomy and hypoparathyroidism in secondary central compartment surgery for thyroid cancer. Head Neck, 2010, 32(4): 462-466.
16.	Sitges-Serra A, Gallego-Otaegui L, Suárez S, et al. Inadvertent parathyroidectomy during total thyroidectomy and central neck dissection for papillary thyroid carcinoma. Surgery, 2017, 161(3) :712-719.
17.	Zhou HY, He JC, McHenry CR. Inadvertent parathyroidectomy: incidence, risk factors, and outcomes. J Surg Res, 2016, 205(1): 70-75.
18.	Mehanna H, Al-Maqbili T, Carter B, et al. Differences in the recurrence and mortality outcomes rates of incidental and nonincidental papillary thyroid microcarcinoma: a systematic review and meta-analysis of 21 329 person-years of follow-up. J Clin Endocrinol Metab, 2014, 99(8): 2834-2843.
19.	Randolph GW, Duh QY, Heller KS, et al. The prognostic significance of nodal metastases from papillary thyroid carcinoma can be stratified based on the size and number of metastatic lymph nodes, as well as the presence of extranodal extension. Thyroid, 2012, 22(11): 1144-1152.
20.	Lang BH, Wong CK, Tsang JS, et al. A systematic review and meta-analysis comparing surgically-related complications between robotic-assisted thyroidectomy and conventional open thyroidectomy. Ann Surg Oncol, 2014, 21(3): 850-861.
21.	Wang TS, Cheung K, Farrokhyar F, et al. A meta-analysis of the effect of prophylactic central compartment neck dissection on locoregional recurrence rates in patients with papillary thyroid cancer. Ann Surg Oncol, 2013, 20(11): 3477-3483.
22.	Radowsky JS, Howard RS, Burch HB, et al. Impact of degree of extrathyroidal extension of disease on papillary thyroid cancer outcome. Thyroid, 2014, 24(2): 241-244.
23.	Woo CG, Sung CO, Choi YM, et al. Clinicopathological significance of minimal extrathyroid extension in solitary papillary thyroid carcinomas. Ann Surg Oncol, 2015, 22 Suppl 3: S728-S733.
24.	Amin MB, Greene FL, Edge SB, et al. The eighth edition AJCC Cancer Staging Manual: continuing to build a bridge from a population-based to a more "personalized" approach to cancer staging. CA Cancer J Clin, 2017, 67(2): 93-99.
25.	中国抗癌协会甲状腺癌专业委员会 (CATO). 甲状腺微小乳头状癌诊断与治疗中国专家共识 (2016 版). 中国肿瘤临床, 2016, 43(10): 405-411.0.
26.	刘文, 程若川, 苏艳军, 等. 2015 版美国甲状腺协会指南 cN0 甲状腺乳头状癌手术方案合理性分析. 中国实用外科杂志, 2017, 37(5): 568-571.0.
27.	中国医师协会外科医师分会甲状腺外科医师委员会. 甲状腺手术中甲状旁腺保护专家共识. 中国实用外科杂志, 2015, 35(7): 731-736.0.
28.	程若川, 艾杨卿, 刁畅, 等. 甲状腺手术中甲状旁腺显露及功能保护的临床研究. 中国普外基础与临床杂志, 2009, 16(5): 351-355.0.
29.	Zhu J, Tian W, Xu Z, et al. Expert consensus statement on parathyroid protection in thyroidectomy. Ann Transl Med, 2015, 3(16): 230.
30.	Randolph GW 著; 田文, 姜可伟译. 甲状腺和甲状旁腺外科学. 第 2 版. 北京: 北京大学医学出版社, 2016: 17-26.
31.	Tuttle RM, Tala H, Shah J, et al. Estimating risk of recurrence in differentiated thyroid cancer after total thyroidectomy and radioactive iodine remnant ablation: using response to therapy variables to modify the initial risk estimates predicted by the new American Thyroid Association staging system. Thyroid, 2010, 20(12): 1341-1349.
32.	Vaisman F, Tala H, Grewal R, et al. In differentiated thyroid cancer, an incomplete structural response to therapy is associated with significantly worse clinical outcomes than only an incomplete thyroglobulin response. Thyroid, 2011, 21(12): 1317-1322.
33.	Al-Saif O, Farrar WB, Bloomston M, et al. Long-term efficacy of lymph node reoperation for persistent papillary thyroid cancer. J Clin Endocrinol Metab, 2010, 95(5): 2187-2194.
34.	Schuff KG, Weber SM, Givi B, et al. Efficacy of nodal dissection for treatment of persistent/recurrent papillary thyroid cancer. Laryngoscope, 2008, 118(5): 768-775.
35.	Yim JH, Kim WB, Kim EY, et al. The outcomes of first reoperation for locoregionally recurrent/persistent papillary thyroid carcinoma in patients who initially underwent total thyroidectomy and remnant ablation. J Clin Endocrinol Metab, 2011, 96(7): 2049-2056.
36.	Leenhardt L, Erdogan MF, Hegedus L, et al. 2013 European thyroid association guidelines for cervical ultrasound scan and ultrasound-guided techniques in the postoperative management of patients with thyroid cancer. Eur Thyroid J, 2013, 2(3): 147-159.
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1. Chen W, Zheng R, Zhang S, et al. Cancer incidence and mortality in China in 2013: an analysis based on urbanization level. Chin J Cancer Res, 2017, 29(1): 1-10.
2. Haugen BR, Alexander EK, Bible KC, et al. 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: the American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid, 2016, 26(1): 1-133.
3. 中华医学会内分泌学分会, 中华医学会外科学分会内分泌学组, 中国抗癌协会头颈肿瘤专业委员会, 等. 甲状腺结节和分化型甲状腺癌诊治指南. 中华内分泌代谢杂志, 2012, 28(10): 779-797.0.
4. Mitchell AL, Gandhi A, Scott-Coombes D, et al. Management of thyroid cancer: United Kingdom National Multidisciplinary Guidelines. J Laryngol Otol, 2016, 130(S2): S150-S160.
5. 郑鲁明, 贺青卿, 庄大勇, 等. 分化型甲状腺癌再次手术 57 例临床分析. 中国现代普通外科进展, 2014, 17(8): 598-601.0.
6. 李向阳, 丁友宏, 邱亮, 等. 分化型甲状腺癌再次手术 97 例临床分析. 山东医药, 2013, 53(30): 62-63.0.
7. 郑绪才, 王圣应, 朱正志, 等. 分化型甲状腺癌再次手术的临床分析. 安徽医学, 2015, 36(9): 1074-1076.0.
8. 陈卫贤, 蒋斌, 顾云飞, 等. 分化型甲状腺癌再次手术的原因和策略. 中国眼耳鼻喉科杂志, 2014, 14(1): 42-43.0.
9. 王莎飞. 甲状腺癌不规范手术后再手术相关问题的探讨. 基层医学论坛, 2015, 19(31): 4349-4350.0.
10. 许德斌, 吕云霞, 陈万志, 等. 甲状腺癌再次手术的原因及手术方案分析. 江西医药, 2016, 51(6): 524-526.0.
11. 李洁清, 魏涛, 朱启波, 等. 甲状腺乳头状癌再次手术的原因探讨. 中国普外基础与临床杂志, 2012, 19(8): 818-822.0.
12. Manouras A, Markogiannakis H, Lagoudianakis E, et al. Unintentional parathyroidectomy during total thyroidectomy. Head Neck, 2008, 30(4): 497-502.
13. Gourgiotis S, Moustafellos P, Dimopoulos N, et al. Inadvertent parathyroidectomy during thyroid surgery: the incidence of a complication of thyroidectomy. Langenbecks Arch Surg, 2006, 391(6): 557-560.
14. Paek SH, Lee YM, Min SY, et al. Risk factors of hypoparathyroidism following total thyroidectomy for thyroid cancer. World J Surg, 2013, 37(1): 94-101.
15. Ondik MP, McGinn J, Ruggiero F, et al. Unintentional parathyroidectomy and hypoparathyroidism in secondary central compartment surgery for thyroid cancer. Head Neck, 2010, 32(4): 462-466.
16. Sitges-Serra A, Gallego-Otaegui L, Suárez S, et al. Inadvertent parathyroidectomy during total thyroidectomy and central neck dissection for papillary thyroid carcinoma. Surgery, 2017, 161(3) :712-719.
17. Zhou HY, He JC, McHenry CR. Inadvertent parathyroidectomy: incidence, risk factors, and outcomes. J Surg Res, 2016, 205(1): 70-75.
18. Mehanna H, Al-Maqbili T, Carter B, et al. Differences in the recurrence and mortality outcomes rates of incidental and nonincidental papillary thyroid microcarcinoma: a systematic review and meta-analysis of 21 329 person-years of follow-up. J Clin Endocrinol Metab, 2014, 99(8): 2834-2843.
19. Randolph GW, Duh QY, Heller KS, et al. The prognostic significance of nodal metastases from papillary thyroid carcinoma can be stratified based on the size and number of metastatic lymph nodes, as well as the presence of extranodal extension. Thyroid, 2012, 22(11): 1144-1152.
20. Lang BH, Wong CK, Tsang JS, et al. A systematic review and meta-analysis comparing surgically-related complications between robotic-assisted thyroidectomy and conventional open thyroidectomy. Ann Surg Oncol, 2014, 21(3): 850-861.
21. Wang TS, Cheung K, Farrokhyar F, et al. A meta-analysis of the effect of prophylactic central compartment neck dissection on locoregional recurrence rates in patients with papillary thyroid cancer. Ann Surg Oncol, 2013, 20(11): 3477-3483.
22. Radowsky JS, Howard RS, Burch HB, et al. Impact of degree of extrathyroidal extension of disease on papillary thyroid cancer outcome. Thyroid, 2014, 24(2): 241-244.
23. Woo CG, Sung CO, Choi YM, et al. Clinicopathological significance of minimal extrathyroid extension in solitary papillary thyroid carcinomas. Ann Surg Oncol, 2015, 22 Suppl 3: S728-S733.
24. Amin MB, Greene FL, Edge SB, et al. The eighth edition AJCC Cancer Staging Manual: continuing to build a bridge from a population-based to a more "personalized" approach to cancer staging. CA Cancer J Clin, 2017, 67(2): 93-99.
25. 中国抗癌协会甲状腺癌专业委员会 (CATO). 甲状腺微小乳头状癌诊断与治疗中国专家共识 (2016 版). 中国肿瘤临床, 2016, 43(10): 405-411.0.
26. 刘文, 程若川, 苏艳军, 等. 2015 版美国甲状腺协会指南 cN0 甲状腺乳头状癌手术方案合理性分析. 中国实用外科杂志, 2017, 37(5): 568-571.0.
27. 中国医师协会外科医师分会甲状腺外科医师委员会. 甲状腺手术中甲状旁腺保护专家共识. 中国实用外科杂志, 2015, 35(7): 731-736.0.
28. 程若川, 艾杨卿, 刁畅, 等. 甲状腺手术中甲状旁腺显露及功能保护的临床研究. 中国普外基础与临床杂志, 2009, 16(5): 351-355.0.
29. Zhu J, Tian W, Xu Z, et al. Expert consensus statement on parathyroid protection in thyroidectomy. Ann Transl Med, 2015, 3(16): 230.
30. Randolph GW 著; 田文, 姜可伟译. 甲状腺和甲状旁腺外科学. 第 2 版. 北京: 北京大学医学出版社, 2016: 17-26.
31. Tuttle RM, Tala H, Shah J, et al. Estimating risk of recurrence in differentiated thyroid cancer after total thyroidectomy and radioactive iodine remnant ablation: using response to therapy variables to modify the initial risk estimates predicted by the new American Thyroid Association staging system. Thyroid, 2010, 20(12): 1341-1349.
32. Vaisman F, Tala H, Grewal R, et al. In differentiated thyroid cancer, an incomplete structural response to therapy is associated with significantly worse clinical outcomes than only an incomplete thyroglobulin response. Thyroid, 2011, 21(12): 1317-1322.
33. Al-Saif O, Farrar WB, Bloomston M, et al. Long-term efficacy of lymph node reoperation for persistent papillary thyroid cancer. J Clin Endocrinol Metab, 2010, 95(5): 2187-2194.
34. Schuff KG, Weber SM, Givi B, et al. Efficacy of nodal dissection for treatment of persistent/recurrent papillary thyroid cancer. Laryngoscope, 2008, 118(5): 768-775.
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