[Complications after therapeutic dissection of the neck in the treatment of differentiated thyroidal gland cancer].

Klinichna khirurhiia / Ministerstvo okhorony zdorov'ia Ukrainy, Naukove tovarystvo khirurhiv Ukrainy

PubMedID: 24923146

There were analyzed retrospectively 1078 patients, operated on for differentiated cancer of thyroidal gland (DCTHG) in 2009-2012 yrs in the Centre, who have had following surgical complications: the injury of the X, XI, XII cranial nerves pairs, of the motor and sensitive branches of cervical and brachial plexuses, lymphorrhea, hypoparathyrosis and hematoma of the neck. In 868 patients the primary operations were performed, 304 - were operated for the recurrent forms. In 271 patients (the comparison group) thyroidectomy was performed, in 884 (the main group)--thyroidectomy and different kinds of the neck dissection, in 121--the operation was done, using neuromonitoring. Therapeutic dissection of the neck--the central and lateral one, as well as primary and repeated, may be performed relatively safely in patients, suffering DCTHG. In reoperations the rate of injury of the X, XI, XII cranial nerves pairs, of the motor and sensitive branches of cervical and brachial plexuses is increasing. Application of intraoperative electroneuromonitoring for identification of peripheral nerves permits to lower the neurotrauma occurrence.