甲状腺癌根治术（Radical thyroidectomy）.docVIP

甲状腺癌根治术（Radical thyroidectomy） Radical thyroidectomy Radical thyroidectomy is a widespread resection of the affected thyroid (including the isthmus of the thyroid gland and the contralateral thyroid gland) and the neck region of the thyroid gland. The scope of operation in treatment of thyroid itself, including thyroid lymph node (prelaryngeal, trachea, tracheal and laryngeal nerve lymph node) removal, sternocleidomastoid, internal jugular vein and internal jugular vein, three lymph node resection, posterior cervical triangle (conventional resection of many authors accessory nerve) clearance and submandibular triangle, triangle submental lymph node. Additional upper mediastinum should be added when necessary. Whats more, only the very thin flap was removed and the subcutaneous tissue and the latissimus dorsi were removed. In recent years, many authors have adopted the modified radical neck surgery to achieve gratifying results, and its functional and aesthetic effects are more satisfactory. Improve neck radical cure to be introduced as follows now: [indications] 1. invasive papillary adenocarcinoma. 2. infiltrating follicular head adenocarcinoma. 3. medullary carcinoma. [contraindication] 1. the condition of the whole body is very poor or suffers from the serious illness of other important system or organ, and can not bear the bigger operation person. 2. have distant metastasis. 3. undifferentiated carcinoma. [anesthesia] Endotracheal intubation, general anesthesia. [surgical procedure] 1. position the head to the right to fully expose the lateral and posterolateral regions of the neck. 2. incisions in neck collar incision on the ipsilateral sternocleidomastoid muscle to the edge, to the lower edge of mastoid process, the formation of the inverted T-shaped incision. 3. revealed the incision of the skin, subcutaneous tissue and neck muscle. No tumor infiltration should be reserved, such as the neck of the broad necked muscle. In the deep surface of the latissimus dor