Discussion on surgical procedures of differentiated thyroid carcinoma with 42 cases for analysis / 中国现代医生

ABSTRACT

Objective To explore appropriate surgical procedures for differentiated thyroid carcinoma. Methods Clinical data of 42 patients who received surgery for differentiated thyroid carcinoma from March 2011 to March 2014 in the department of general surgery in our hospital were retrospectively analyzed. Results Among the 42 patients, 40 patients were papillary thyroid carcinoma and 2 patients were follicular thyroid carcinoma; 26 patients received total thyroidectomy, 12 patients received resection of thyroid lobes+isthmus in affected side+near total thyroidectomy in opposite side, and 4 patients received resection of thyroid lobes+isthmus in affected side.19 patients received lymph node dissection of central group, and 9 patients received selective lymph node dissection. 7 patients showed temporary hoarseness after the surgery; 10 patients showed temporary hypocalcemia. Conclusion As for differentiated thyroid carcinoma, clinical classification, clinical staging and results of rapid pathological examination of frozen sections dur-ing the surgery are considered as proofs for comprehensive decision of surgical procedures. Total thy-roidectomy and near-total thyroidectomy are suggested, and neck lymph node dissection is carried out ap-propriately.