常规中央区淋巴结清扫在cN0期分化型甲状腺癌根治术中的应用

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Abstract Objective: To study the effect of routine central lymph node dissection (RCLD) in radical operation of cN0 stage differentiated thyroid carcinoma. Methods: A total of 43 cases surgical treatment cases(50 sides) of cN0 stage differentiated thyroid carcinoma were randomly divided into lymph node dissection group(lobectomy and lymph node dissection) and nonlymph node dissection group(lobectomy), respectively, with or without central lymph node dissection.Then, intraoperative and postoperative clinicopathological parameters for the two groups were compared. Results: Operation time, intraoperative blood loss in lymph node dissection group were higher than nonlymph node dissection group, local recurrence and lateral neck lymph node metastasis rate were lower than nonlymph node dissection group, they had statistically significant between two groups (P<0.05); postoperative complications and postoperative 5years survival rate had no statistical significance between two groups(P>0.05). Conclusion: For cN0 stage differentiated thyroid carcinoma, RCLD would not only be beneficial to eliminating occult lymph node metastases,but also reduce local recurrence and lateral neck lymph node metastasis rate without increasing complications.

Received: 19 December 2014

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http://zzs.ujs.edu.cn/xbyxb/EN/ OR http://zzs.ujs.edu.cn/xbyxb/EN/Y2017/V27/I02/150

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［收稿日期］2014-12-19［编辑］刘星星