关键词: 甲状腺, 甲状腺微小乳头状癌, 甲状腺切除术, 腔镜甲状腺手术

Abstract:

Endoscopic thyroidectomy for thyroid microcarcinoma             WANG Ping，YAN Hai-chao. Department of Thyroid Surgery，the 2nd Affiliated Hospital of Zhejiang University School of Medicine，Hangzhou 310009，China
Corresponding author：WANG Ping，E-mail：p.wang_zju@foxmail.com
Abstract    With twenty years’ development，scarless endoscopic thyroidectomy（SET） indications have expanded from benign disease to differentiated thyroid carcinoma（DTC），especially papillary thyroid microcarcinoma（PTMC）. It is very important for preoperative evaluation，which emphases are location and size of tumor and metastatic lymph nodes. The key surgical procedure is protection of RLN and parathyroid glands. For beginners，reoperation and non-RLN，intraoperative neuromonitoring（IONM）has obviously advantage. For PTMC，near total thyroidectomy is recommended to avoid permanent hypoparathyroidism，instead of total thyroidectomy. At present，in endoscopic surgery of PTMC, the endoscopic approach and the scope lymph node dissection remain controversial.

Key words: thyroid, papillary thyroid microcarcinoma, thyroidectomy, endoscopic thyroidectomy