双侧同期颈清扫手术治疗高分化甲状腺癌6例

6-case Clinical Analysis of Meantime Bilateral Neck Dissection Surgery for Well-differentialed Thyroid Cancer

报告对６例高分化甲状腺癌并双侧颈淋巴结转移进行同期双侧颈清扫手术的结果．认为同期双侧颈清扫手术只要遵循以下基本原则：（１）对甲状腺的切除行保留一侧背面被膜或薄层组织的次全切除术．（２）对原发灶一侧或是转移灶较重的一侧行传统式颈清扫术，对侧行至少保留颈内静脉的功能性颈清扫术，其手术效果无论从切除的彻底性，手术并发症及颈部外观等方面均不亚于单侧颈清扫术，更为病人节省了开支，一次解决了后顾之忧，取得更佳的社会效益。

Reported was the surgical results of meantime bilateral neck dissection of well-differentialed thyroid cancer in 6 cases. It was thought that meantime bilateral neck dissection should be performed with the following basic rules: 1) Take a less than total thyroidectomy with the dorsal capsula or thin tissue reserved; 2) Take a classical radical neck dissection at the side of primary focus or of metastasis focus while taking a radical neck dissection at the opposite side with the internal aterial vein protected in function. In term of the dissection thoroughness, complication avoidance and neck scar, the surgical procedure is not inferior to single-side neck dissection. Furthermore it can save expense for patients by removing the cancer in one operation. With its good benefit to society, it deserves a further application and study.