Surgical Approach to Level VI in Papillary Thyroid Carcinoma: an Overview

Overview

Journal Updates Surg

Specialty General Surgery

Date 2017 Jun 15

PMID 28612210

Citations 7

Authors

Carmela De Crea

Marco Raffaelli

Luca Sessa

Celestino Pio Lombardi

Rocco Bellantone

Affiliations

Soon will be listed here.

Abstract

One of the most controversial issues in the treatment of thyroid cancer is the management of the central neck nodes in patients with papillary thyroid carcinoma (PTC). Lymph node involvement is common in patients with PTC and it may negatively affect recurrence rate and, probably, survival. Although therapeutic compartment-oriented central neck dissection is the standard treatment for patients with clinical nodal involvement (cN1) PTC, the role and the extension for elective or prophylactic central neck dissection (PCND) in patients with clinically node negative (cN0) neoplasms remains controversial. In recent years, in order to decrease the risk of postoperative complications related to PCND, unilateral central neck dissection has emerged as an alternative approach to bilateral central neck dissection.

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Total thyroidectomy versus thyroid lobectomy in the treatment of papillary carcinoma.

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