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Para-tracheal neck dissection-is dissection of the upper part of level Ⅵ necessary?

World Journal of Otorhinolaryngology-Head and Neck Surgery 2020年第3期6卷 171-175页

作者： Avi Khafif Liron Malka Yosef The Head and Neck Surgery and Oncology Unit A.R.M Center for Otolaryngology Head and Neck SurgeryAssuta Medical CenterAffiliated with Ben Gurion University of the NegevTel AvivIsrael Deportment of Otolaryngology Head and Neck SurgeryKoplan Medical CenterAffiliated with the Hebrew University of JerusalemRehovotIsrael

Papillary thyroid carcinoma(PTC)has a high propensity for regional metastases,however,the impact of such metastases on the outcome of the patients is *** central compartment of the neck is considered the first and the most common echelon of metastases from thyroid *** examination along with ultrasonography are the gold standard pre-operative evaluation of patients with *** is highly sensitive in evaluating lateral neck nodes,however,its value in evaluating the central compartment is limited,resulting in a relatively high rate of occult metastases in this *** main potential complications of para-tracheal neck dissection(PTND)are recurrent laryngeal nerve paralysis and hypocalcemia and these may be higher in patients undergoing PTND compared to thyroidectomy *** histological data is available showing no evidence of lymph nodes in the central compartment above a level parallel to the inferior border of the cricoid *** findings support withholding dissection of the upper para-tracheal region routinely as a part of PTND in patients with well-differentiated thyroid *** doing that,the complications may be lower and identical to thyroidectomy alone,thus may abolish arguments against more common use of elective PTND in patients with thyroid carcinoma.

关键词： levelⅵ Paratracheal neck dissection Upper limit of paratracheal neck dissection

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