Abstract:
Objective To explore the safty of total thyroidectomy plus bilateral neck lymph nodes dissection in bilateral papillary thyroid carcinoma at the same time.
Methods The clinical data of two groups of cases with bilateral papillary thyroid carcinoma treated in our hospital were retrospective analyzed. The observation group was 55 cases who received total thyroidectomy plus bilateral neck lymph nodes dissection at the same time. The control group was 41 cases who received one side of thyroidectomy and the other side of subtotal thyroidectomy plus one side of neck dissection. All the clinical data were statistically analyzed by SPSS 18.0 software. The operative complications of the two groups were compared with chi-square.
Results No operative death, postoperative hemorrhage and lymphorrhagia was found in the two groups. 3 cases of hoarseness, 7 cases of numbness of hands and feet, 6 cases of choking cough were found in the observation group. 2 cases of hoarseness, 5 cases of numbness of hands and feet, 5 cases of choking cough were found in the control group. All the complications were transient. There were no statistically significant differences between the two groups (P>0.05).
Conclusions For the cases of bilateral papillary thyroid carcinoma, total thyroidectomy plus bilateral neck lymph nodes dissection at the same time is safe. The appropriate neck lymph nodes dissection must be selected. The application of whole process of the recurrent laryngeal nerve and the careful dissection of the thyroid capsule can effectively reduce the surgical complications.
Key words:
Thyroid Neoplasms,
Thyroidectomy,
Neck Dissection
Ji Wu, Shucheng Gu, Xiangxin Zheng, Mu Yuan, Xing Qiu, Xiaohong Shi, Xiaoqing Guan. Safety analysis of total thyroidectomy plus bilateral neck lymph nodes dissection in bilateral papillary thyroid carcinoma at the same time[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2018, 12(02): 162-164.