文献摘要

國際神經監測學組指引2018:第二部分:甲狀腺癌手術最佳的喉返神經處理-結合術中、喉及神經電生理訊號等數據
International Neuromonitoring Study Group Guidelines 2018: Part II: Optimal Recurrent Laryngeal Nerve Management for Invasive Thyroid Cancer—Incorporation of Surgical, Laryngeal, and Neural Electrophysiologic Data

關鍵字 :
甲狀腺惡性腫瘤,甲狀腺手術,侵犯神經,喉返神經,術中神經監測,聲帶麻痺,唯一的功能神經,神經切除,神經保留,雙側手術, Thyroid malignancy, thyroid surgery, invaded nerve, recurrent laryngeal nerve, intraoperative neuromonitoring, vocal cord paralysis, only functional nerve, nerve resection, nerve preservation, bilateral surgery.

作者 :
Che-Wei Wu, MD, PhD ; Gianlorenzo Dionigi, MD, FACS ; Marcin Barczynski, MD, PhD, FEBS-ES; et al.

譯者 :
亞東醫院 廖立人醫師

摘要:


The purpose of this publication was to inform surgeons as to the modern state-of-the-art evidence-based guidelines for management of the recurrent laryngeal nerve invaded by malignancy through blending the domains of 1) surgical intraoperative information, 2) preoperative glottic function, and 3) intraoperative real-time electrophysiologic information. These guidelines generated by the International Neural Monitoring Study Group (INMSG) are envisioned to assist the clinical decision-making process involved in recurrent laryngeal nerve management during thyroid surgery by incorporating the important information domains of not only gross surgical findings but also intraoperative recurrent laryngeal nerve functional status and preoperative laryngoscopy findings. These guidelines are presented mainly through algorithmic workflow diagrams for convenience and the ease of application. These guidelines are published in conjunction with the INMSG Guidelines Part I: Staging Bilateral Thyroid Surgery With Monitoring Loss of Signal. Level of Evidence: 5 Laryngoscope, 128:S18-S27, 2018.

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