| 腔镜甲状腺癌手术的进展与争议 |
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| 引用本文： | 李旭,罗文浩,厉周.腔镜甲状腺癌手术的进展与争议[J].肿瘤防治研究,2018,45(6):429-432. |
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| 作者姓名： | 李旭 罗文浩 厉周 |
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| 作者单位： | 1. 510515 广州，南方医科大学第二临床医学院；2. 510515 广州，南方医科大学珠江医院普通外科 |
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| 摘 要： | 随着腔镜技术的快速发展，经腔镜甲状腺手术因其颈部无瘢痕、手术切口隐蔽等优势受到欢迎。但腔镜下甲状腺癌手术因其适应证尚不明确、颈侧区淋巴结清扫困难等因素，在能否根治甲状腺癌的问题上仍存在争议。经相关文献的复习，本文将基于腔镜下甲状腺癌手术的最新进展，对腔镜下甲状腺癌的适应证以及现存的争议进行论述、对其存在的风险提出规避对策，并为腔镜下甲状腺癌术将来的走向提供合理化建议。
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| 关 键 词： | 腔镜手术 甲状腺癌 淋巴结清扫 |
| 收稿时间： | 2017-11-02 |
Progress and Controversy of Endoscopic Thyroid Cancer Surgery |
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| LI Xu,LUO Wenhao,LI Zhou.Progress and Controversy of Endoscopic Thyroid Cancer Surgery[J].Cancer Research on Prevention and Treatment,2018,45(6):429-432. |
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| Authors: | LI Xu LUO Wenhao LI Zhou |
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| Institution: | 1. Second Clinical Medical College of Southern Medical University, Guangzhou 510515, China; 2. Department of General Surgery, Zhujiang Hospital of Southern Medical University, Guangzhou 510515, China |
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| Abstract: | With the rapid development of endoscopic techniques, endoscopic thyroid surgery has gradually become a new research focus due to the tiny neck scar, invisible surgical incision, etc.. However, because of the unclear indications of endoscopic thyroid surgery, difficult lymph node dissection in lateral neck, etc., there are different opinions about whether endoscopic thyroid surgery can cure thyroid cancer or not. After reviewing the related literatures, this paper discusses the indications and disputations of endoscopic thyroid cancer surgery, puts forward the countermeasures to avoid the risk and provides rationalization proposals for their future trends. |
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| Keywords: | Endoscopic surgery Thyroid cancer Lymph node dissection R736 1 R730 56 |
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