ABSTRACT
The work is devoted to problem of differentiated application of reconstruction-plastic operations in patients with locally spread forms of the thyroid gland cancer with affection of cervical trachea, esophagus, main cervical vessels and mediastinum. For substantiation of choice of tactics and the operative intervention volume there was elaborated and introducted the technology of estimation of the tumoral expansion degree according to diagnostic algorhythm elaborated. The treatment doctrine was formulated, which substantiate the expediency of performance of radical interventions and of reconstruction-plastic operation. Its efficacy is proved by available postoperative complications rate (21.6%), by mortality (3.9%), the patients survival indexes during 3 years (77.8%) and 5 years (64.6%).
