[Cervical lymph node dissection and thyroid carcinoma].
After an anatomic recall of the cervical lymph node compartments we describe the surgical technique of the lymph node dissection in patients with differentiated thyroid carcinoma. These lymphadenectomies should be associated with total thyroidectomy. Cervical lymph node dissection always concerns central compartment and is sometimes extended to the cervico lateral compartments. Lymphadenectomy of a compartment should be complete, reoperations leading to an important morbidity. The two main complications of cervical lymph node dissection are inferior laryngeal nerve palsy and hypoparathyroidism.
Peix
J-L
JL
Service de chirurgie générale, hôpital de l'Antiquaille, 69321 Lyon 05, France. jean-louis.peix@chu-lyon.fr
Lifante
J-C
JC
D002277:Carcinoma / Q000601:surgery*; D006801:Humans; D007011:Hypoparathyroidism / Q000209:etiology; D008197:Lymph Node Excision / Q000009:adverse effects / Q000379:methods*; D008207:Lymphatic Metastasis / Q000473:pathology*; D009333:Neck; D013964:Thyroid Neoplasms / Q000601:surgery*; D014826:Vocal Cord Paralysis / Q000209:etiology