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甲状腺癌侵及气管时有的作者认为可同时楔形切除受侵的气管组织,但本文作者提出这一方法不彻底,因为分化型甲状腺癌一旦侵犯其粘膜下层间隙时,气管浸润常环绕其周边,楔形切除气管壁会遗留病灶。作者对1984～1992年期间21例甲状腺癌侵及气管病例作管环绕袖式切除和端端吻合,其中男性4例,女性17例,平均年龄531岁(19～75岁),组织学分类为乳头状腺癌18例、滤泡型腺癌2例和髓样癌1例。甲状腺手术方法有全切除16例、次全切除3例和腺叶切除2例,同时还做了双侧改良式颈淋巴结清扫5例、同侧改良式颈淋巴结清扫和对侧局部颈淋巴结清扫4例、同侧改良式颈淋巴结清扫11例
Some authors believe that when thyroid cancer invades the trachea, the wedged tracheal tissue can be resected at the same time. However, the authors suggest that this method is incomplete because if the differentiated thyroid cancer invades the submucosal space, tracheal infiltration often surrounds the surrounding trachea. Wedge-removing tracheal wall can leave behind lesions. The authors enrolled in 21 cases of thyroid cancer invading trachea during the period from 1984 to 1992 and performed sleeve cuff resection and end-to-end anastomosis. Among them, there were 4 males and 17 females with a mean age of 531 years (19 to 75 years). Histological classification was There were 18 cases of papillary adenocarcinoma, 2 cases of follicular adenocarcinoma, and 1 case of medullary carcinoma. Thyroid surgery included total resection in 16 cases, subtotal resection in 3 cases, and lobectomy in 2 cases. Bilateral modified lymph node dissection in 5 cases, ipsilateral modified cervical lymph node dissection, and contralateral local neck lymph node dissection were also performed. Example, ipsilateral modified cervical lymph node dissection in 11 cases