外科理论与实践2018，Vol.23Issue(1)：52-56,5.DOI:10.16139/j.1007-9610.2018.01.012
喉返神经入喉处淋巴结对于甲状腺乳头状癌中央区淋巴结清扫的重要性
Clinical importance of recurrent laryngeal nerve lymph nodes at entrance point in central lymph node dissection for papillary thyroid carcinoma
吕恬 1王琳 2应夏洋 1陈曦 1狄忠民 1匡洁 1严佶祺1
作者信息
- 1. 上海交通大学医学院附属瑞金医院外科,上海200025
- 2. 苏州市吴江区中西医结合医院普外科,江苏苏州215000
- 折叠
摘要
Abstract
Objective To explore the clinical significance of metastasis to recurrent laryngeal nerve lymph nodes at entrance point (RLNLN-ep) in the patients with papillary thyroid carcinoma (PTC).Methods An analysis was done including 598 consecutive patients with PTC who underwent thyroid surgery from April 2016 to November 2016.We explored RLNLN-ep in central compartment lymph node dissection.Carbon nanoparticles were injected into the lobes to help identify lymph nodes.RLNLN-ep and the other central compartment lymph nodes were sent for pathological examination.The complications were recorded.Results RLNLN-ep was found in 35 of 598 (5.85％) cases.There were 15 (2.51％) cases with metastasis of PTC and 20 cases without the metastasis.The metastasis rate of RLNLN-ep was related to tumor diameter,tumor location and the amount of tumor.The amount of tumor was an independent factor of metastasis of RLNLN-ep.There were 14 (93.3％) cases with metastasis of RLNLN-ep who were found the other central compartment lymph node metastasis simultaneously.Seven (1.2％) cases had morbidity postoperatively.Conclusions RLNLN-ep could be the site of metastasis of PTC.Central compartment lymph node dissection should include RLNLN-ep and the surrounding tissue.关键词
喉返神经入喉处淋巴结/甲状腺乳头状癌/中央区淋巴结清扫Key words
Recurrent laryngeal nerve lymph nodes at entrance point/Papillary thyroid carcinoma/Central compartment lymph node dissection分类
医药卫生引用本文复制引用
吕恬,王琳,应夏洋,陈曦,狄忠民,匡洁,严佶祺..喉返神经入喉处淋巴结对于甲状腺乳头状癌中央区淋巴结清扫的重要性[J].外科理论与实践,2018,23(1):52-56,5.
