What is the difference between hemisection and subtotal resection for thyroid cancer

Thyroid cancer is a common endocrine tumor in clinical practice. Once a patient is diagnosed with thyroid cancer, he or she should go to the hospital in time and undergo surgical treatment under the guidance of a doctor. Hemisection and subtotal resection of thyroid cancer may lead to recurrence and metastasis. Therefore, the appropriate treatment plan should be selected according to the patient's specific situation.

1. Hemisection of thyroid cancer:

1. Residual lesions: If there are residual tumors in the thyroid bed seen with the naked eye during surgery, the thyroid gland should be re-explored and total thyroidectomy should be performed as appropriate;

2. Lymph node metastasis: If lymph nodes seen with the naked eye do not metastasize during surgery, surgical treatment should be performed along the range of lymph node dissection. When dissecting lymph nodes, the surgical procedure with the smallest treatment response should be selected as much as possible to avoid postoperative lymph node metastasis;

3. Vascular invasion: If tumor vascular invasion of the thyroid bed is found during surgery, radionuclide examinations such as iodine-131 should be used before surgery to determine the specific location and extent of vascular invasion, and appropriate treatment should be performed during surgery to reduce intraoperative bleeding and relieve patient symptoms;

4. Other situations: If the surgical resection is large, resulting in damage to the parathyroid glands and causing symptoms such as hypothyroidism in the patient, drugs such as levothyroxine sodium tablets should be given for treatment.

2. Subtotal thyroidectomy:

If the patient's preoperative examination finds no residual tumor in the thyroid bed and no metastasis in the cervical lymph nodes, subtotal thyroidectomy can be performed under the operation of a professional doctor. However, since subtotal thyroidectomy may cause damage to the patient's recurrent laryngeal nerve, the recurrent laryngeal nerve should be protected during the operation, and the patient should be observed for symptoms such as hoarseness after the operation.

For patients with thyroid cancer, it is recommended to receive timely treatment and then have regular follow-up examinations to detect recurrence or metastasis in a timely manner so that corresponding measures can be taken in a timely manner.