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New technologies in thyroid cancer surgery

机译：甲状腺癌手术的新技术

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Several new technologies have advanced the practice of thyroid surgery in recent years, with some centers implementing substantial changes in the way thyroid surgery is performed. As many thyroid cancers are diagnosed at an early stage the treatment is quite effective, and the prognosis is good for most patients with differentiated thyroid cancer. With excellent long term survival, advancements in the treatment of patients with thyroid cancers are focusing on reducing complications of surgery, improving quality-of-life and delivering care in a cost-effective way. The LigaSure electrothermal bipolar vessel sealing system and Harmonic scalpel have been designed to aid in dissection with less thermal spread than conventional electrocautery. Alternative access approaches to the thyroid allow for improved cosmetic outcomes and potentially improve the view of the surgical field. The intraoperative use of gamma-probe for the localization of metastases and sentinel lymph nodes are being increasingly reported on. Surgeon performed ultrasound is promoted for improving the detection of disease, and intraoperative nerve monitoring is now widespread, aiding in laryngeal nerve detection and protection. The assay of parathyroid hormone is also in common use for predicting patients at risk for developing postoperative hypocalcemia. This article reviews the current literature on new technologies for thyroid surgery and discusses some of the implications for the future of this field of surgery.
机译：近年来，有几种新技术促进了甲状腺手术的实践，一些中心对甲状腺手术的实施方式进行了重大改变。由于许多甲状腺癌在早期就被诊断出，因此治疗是非常有效的，并且对大多数分化型甲状腺癌患者的预后良好。凭借出色的长期存活率，甲状腺癌患者的治疗进展集中在减少手术并发症，改善生活质量和以经济有效的方式提供护理方面。与传统的电灼术相比，LigaSure电热双极血管密封系统和谐波解剖刀在设计时可帮助进行解剖，且散布的热量更少。甲状腺的替代入路可改善美容效果，并可能改善手术视野。术中使用伽马探针定位转移灶和前哨淋巴结的报道越来越多。促进了由外科医生进行超声检查以改善疾病的检测，并且术中神经监测现已普及，有助于喉神经的检测和保护。甲状旁腺激素的测定也普遍用于预测有发生术后低血钙症风险的患者。本文回顾了有关甲状腺手术新技术的最新文献，并讨论了对该手术领域未来的一些影响。

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