TY - JOUR
T1 - Surgical approach to level VI in papillary thyroid carcinoma: an overview
AU - De Crea, Carmela
AU - Raffaelli, Marco
AU - Sessa, Luca
AU - Lombardi, Celestino Pio
AU - Bellantone, Rocco Domenico Alfonso
PY - 2017
Y1 - 2017
N2 - 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.
AB - 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.
KW - Carcinoma, Papillary
KW - Central neck dissection
KW - Humans
KW - Lymph Node Excision
KW - Lymphatic Metastasis
KW - Neck Dissection
KW - Papillary thyroid carcinoma
KW - Postoperative Complications
KW - Prophylactic central neck dissection
KW - Reoperation
KW - Reoperative central neck dissection
KW - Surgery
KW - Thyroid Neoplasms
KW - Thyroidectomy
KW - Video-Assisted Surgery
KW - Video-assisted central neck dissection
KW - Carcinoma, Papillary
KW - Central neck dissection
KW - Humans
KW - Lymph Node Excision
KW - Lymphatic Metastasis
KW - Neck Dissection
KW - Papillary thyroid carcinoma
KW - Postoperative Complications
KW - Prophylactic central neck dissection
KW - Reoperation
KW - Reoperative central neck dissection
KW - Surgery
KW - Thyroid Neoplasms
KW - Thyroidectomy
KW - Video-Assisted Surgery
KW - Video-assisted central neck dissection
UR - http://hdl.handle.net/10807/120331
UR - http://www.springer.com/medicine/surgery/journal/13304
U2 - 10.1007/s13304-017-0468-2
DO - 10.1007/s13304-017-0468-2
M3 - Article
SN - 2038-131X
VL - 69
SP - 205
EP - 209
JO - Updates in Surgery
JF - Updates in Surgery
ER -
