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The incidence of thyroid cancer in Shanghai was 77.
2/100,000
.
Surgery is the main treatment for thyroid cancer
.
When the thyroid cancer has already invaded seriously, or the lymph node metastasis of thyroid cancer and esophageal cancer involves the recurrent laryngeal nerve, it has been a difficult problem in the industry for many years to protect and repair the recurrent laryngeal nerve to the greatest extent when the tumor is radically cured
.
Recently, a team led by Professor Ji Qinghai and Professor Wang Yulong from Head and Neck Surgery of Fudan University Affiliated Cancer Hospital launched a new "Chinese procedure" for recurrent laryngeal nerve repair surgery independently designed in the world.
Head & Neck, the official journal of the School of Oncology, is published in the form of a cover article, and a surgical video is published at the same time for peer learning and communication
.
The recurrent laryngeal nerve is an important nerve in the human body that controls the movement of the vocal cords
.
Unilateral loss of function of the recurrent laryngeal nerve can cause hoarseness and choking on drinking water; bilateral loss of function can cause dyspnea, dysphonia, and eating disorders
.
Recurrent laryngeal nerve protection has always been an operation that every surgeon must be careful, careful, and more careful about in thyroid cancer surgery
.
The Cancer Hospital Affiliated to Fudan University has the largest number of thyroid cancer operations in the country, including a large number of patients with advanced and reoperations.
The use of intraoperative neuroanatomy and neurological monitoring has achieved effective protection of the recurrent laryngeal nerve during thyroid cancer surgery, which is comparable to international standards.
First class
.
In clinical practice, some patients with thyroid cancer had already "grown very large" when they came to see the doctor, invading the trachea and the recurrent laryngeal nerve, and some patients with esophageal cancer had already metastasized to the recurrent laryngeal nerve region when they came to see the doctor.
.
Professor Wang Yulong explained that in order to completely remove the tumor, the surgeon needs to perform segmental resection of the involved recurrent laryngeal nerve
.
Due to the important physiological function of the recurrent laryngeal nerve, the repair of the recurrent laryngeal nerve after segmental resection has always been one of the worldwide problems in the industry
.
At present, there are three main traditional repair methods after segmental resection of the recurrent laryngeal nerve: direct suture, resection of other nerves to bridge the stump of the recurrent laryngeal nerve, severing of the phrenic nerve or anastomosis of the loop of the hypoglossal nerve and the stump of the recurrent laryngeal nerve
.
Professor Wang Yulong pointed out that these three techniques have their own disadvantages
.
"For example, the first surgical method has too much suture tension and is only suitable for short defects; the second surgical method requires two anastomosis during the process, which damages another nerve and bridges the nerve growth path too long to affect the effect; finally A repair method will damage another motor nerve, the main nerve is not the mother vagus nerve of the recurrent laryngeal nerve, and the functional areas of the brain need to be anastomosed for further study and exercise, which will affect the patient's quality of life
.
"Professor Wang Yulong said that although these methods are used in clinical practice It is widely used in Chinese medicine, but the limitations and deficiencies have always plagued us, and we have been exploring new techniques to solve these problems
.
In recent years, Professor Ji Qinghai and Professor Wang Yulong from the Head and Neck Surgery Department of Fudan University Cancer Hospital have summed up a large number of clinical experience in complex thyroid cancer surgery.
The surgical method of anastomosis behind the common carotid artery and the recurrent laryngeal nerve at the entrance to the larynx effectively solves the shortcomings and limitations of traditional repair surgery
.
Professor Ji Qinghai said that this new surgical method sounds quite professional, but the truth is that it is very easy to understand
.
To put it more simply, we can compare the nerve to a wire.
The starting point is A, the throat is compared to a light bulb, and the end point is C.
The throat can only function when it is electrified.
In a natural state, the wire starts from A, detours to point B of the subclavian artery, and then To point C of the throat, and the BC segment is often invaded by tumors, there will be defects after resection.
The traditional method is to find other wires to bridge, or connect another wire from other rooms, which will affect the power supply of other rooms, and the new method That is, directly make the existing wires no longer bypass point B, and directly connect to point C to complete the AC energization
.
According to statistics, more than 20 patients have been completed by this new surgical method, and the effect is very good.
The hoarseness of the patients has recovered to varying degrees within half a year
.
At the same time, Prof.
Ji Qinghai and Prof.
Wang Yulong also made a theoretical analysis and summary of this important innovative technique from the practical level.
Head & Neck, the official magazine of the college, publishes the world premiere article and surgical video in the form of a cover article
.
During the submission of the article, it was highly praised by the editors of the journal
.
After the publication, domestic and foreign counterparts expressed great approval for the surgical method.
Professor Holsinger, Director of Head and Neck Surgery of Stanford University, Professor Fang Jugao, Vice Chairman of the Head and Neck Cancer Special Committee of China Anti-Cancer Association, and Director of Head and Neck Surgery of Beijing Tongren Hospital, etc.
It is considered that this operation is one of the best methods for the repair of the segmental defect of the right recurrent laryngeal nerve, which is original and practical
.
It is reported that the Department of Head and Neck Surgery of Fudan University Cancer Hospital has always been committed to the innovation and practice of surgical methods
.
Honorary professor of the hospital and professor of head and neck surgery Wang Hongshi, who was the first in the world to design a subhyoid myocutaneous flap for the repair of head and neck tumor defects, and won the National Science and Technology Progress Award
.
In recent years, under the leadership of Professor Ji Qinghai and Director Wang Yu, he has always been committed to the innovation of the concept and technology of multidisciplinary comprehensive diagnosis and treatment of head and neck tumors, and has made a series of achievements in the comprehensive diagnosis and treatment of thyroid cancer.
7,600 units, the first in the country
.
A number of thyroid cancer diagnosis and treatment concepts and surgical techniques independently innovated by the department have been promoted and used in dozens of domestic units, benefiting the majority of thyroid cancer patients
.
Author: Tang Wenjia Zhongxuan
2/100,000
.
Surgery is the main treatment for thyroid cancer
.
When the thyroid cancer has already invaded seriously, or the lymph node metastasis of thyroid cancer and esophageal cancer involves the recurrent laryngeal nerve, it has been a difficult problem in the industry for many years to protect and repair the recurrent laryngeal nerve to the greatest extent when the tumor is radically cured
.
Recently, a team led by Professor Ji Qinghai and Professor Wang Yulong from Head and Neck Surgery of Fudan University Affiliated Cancer Hospital launched a new "Chinese procedure" for recurrent laryngeal nerve repair surgery independently designed in the world.
Head & Neck, the official journal of the School of Oncology, is published in the form of a cover article, and a surgical video is published at the same time for peer learning and communication
.
The recurrent laryngeal nerve is an important nerve in the human body that controls the movement of the vocal cords
.
Unilateral loss of function of the recurrent laryngeal nerve can cause hoarseness and choking on drinking water; bilateral loss of function can cause dyspnea, dysphonia, and eating disorders
.
Recurrent laryngeal nerve protection has always been an operation that every surgeon must be careful, careful, and more careful about in thyroid cancer surgery
.
The Cancer Hospital Affiliated to Fudan University has the largest number of thyroid cancer operations in the country, including a large number of patients with advanced and reoperations.
The use of intraoperative neuroanatomy and neurological monitoring has achieved effective protection of the recurrent laryngeal nerve during thyroid cancer surgery, which is comparable to international standards.
First class
.
In clinical practice, some patients with thyroid cancer had already "grown very large" when they came to see the doctor, invading the trachea and the recurrent laryngeal nerve, and some patients with esophageal cancer had already metastasized to the recurrent laryngeal nerve region when they came to see the doctor.
.
Professor Wang Yulong explained that in order to completely remove the tumor, the surgeon needs to perform segmental resection of the involved recurrent laryngeal nerve
.
Due to the important physiological function of the recurrent laryngeal nerve, the repair of the recurrent laryngeal nerve after segmental resection has always been one of the worldwide problems in the industry
.
At present, there are three main traditional repair methods after segmental resection of the recurrent laryngeal nerve: direct suture, resection of other nerves to bridge the stump of the recurrent laryngeal nerve, severing of the phrenic nerve or anastomosis of the loop of the hypoglossal nerve and the stump of the recurrent laryngeal nerve
.
Professor Wang Yulong pointed out that these three techniques have their own disadvantages
.
"For example, the first surgical method has too much suture tension and is only suitable for short defects; the second surgical method requires two anastomosis during the process, which damages another nerve and bridges the nerve growth path too long to affect the effect; finally A repair method will damage another motor nerve, the main nerve is not the mother vagus nerve of the recurrent laryngeal nerve, and the functional areas of the brain need to be anastomosed for further study and exercise, which will affect the patient's quality of life
.
"Professor Wang Yulong said that although these methods are used in clinical practice It is widely used in Chinese medicine, but the limitations and deficiencies have always plagued us, and we have been exploring new techniques to solve these problems
.
In recent years, Professor Ji Qinghai and Professor Wang Yulong from the Head and Neck Surgery Department of Fudan University Cancer Hospital have summed up a large number of clinical experience in complex thyroid cancer surgery.
The surgical method of anastomosis behind the common carotid artery and the recurrent laryngeal nerve at the entrance to the larynx effectively solves the shortcomings and limitations of traditional repair surgery
.
Professor Ji Qinghai said that this new surgical method sounds quite professional, but the truth is that it is very easy to understand
.
To put it more simply, we can compare the nerve to a wire.
The starting point is A, the throat is compared to a light bulb, and the end point is C.
The throat can only function when it is electrified.
In a natural state, the wire starts from A, detours to point B of the subclavian artery, and then To point C of the throat, and the BC segment is often invaded by tumors, there will be defects after resection.
The traditional method is to find other wires to bridge, or connect another wire from other rooms, which will affect the power supply of other rooms, and the new method That is, directly make the existing wires no longer bypass point B, and directly connect to point C to complete the AC energization
.
According to statistics, more than 20 patients have been completed by this new surgical method, and the effect is very good.
The hoarseness of the patients has recovered to varying degrees within half a year
.
At the same time, Prof.
Ji Qinghai and Prof.
Wang Yulong also made a theoretical analysis and summary of this important innovative technique from the practical level.
Head & Neck, the official magazine of the college, publishes the world premiere article and surgical video in the form of a cover article
.
During the submission of the article, it was highly praised by the editors of the journal
.
After the publication, domestic and foreign counterparts expressed great approval for the surgical method.
Professor Holsinger, Director of Head and Neck Surgery of Stanford University, Professor Fang Jugao, Vice Chairman of the Head and Neck Cancer Special Committee of China Anti-Cancer Association, and Director of Head and Neck Surgery of Beijing Tongren Hospital, etc.
It is considered that this operation is one of the best methods for the repair of the segmental defect of the right recurrent laryngeal nerve, which is original and practical
.
It is reported that the Department of Head and Neck Surgery of Fudan University Cancer Hospital has always been committed to the innovation and practice of surgical methods
.
Honorary professor of the hospital and professor of head and neck surgery Wang Hongshi, who was the first in the world to design a subhyoid myocutaneous flap for the repair of head and neck tumor defects, and won the National Science and Technology Progress Award
.
In recent years, under the leadership of Professor Ji Qinghai and Director Wang Yu, he has always been committed to the innovation of the concept and technology of multidisciplinary comprehensive diagnosis and treatment of head and neck tumors, and has made a series of achievements in the comprehensive diagnosis and treatment of thyroid cancer.
7,600 units, the first in the country
.
A number of thyroid cancer diagnosis and treatment concepts and surgical techniques independently innovated by the department have been promoted and used in dozens of domestic units, benefiting the majority of thyroid cancer patients
.
Author: Tang Wenjia Zhongxuan
