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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">endoserg</journal-id><journal-title-group><journal-title xml:lang="ru">Эндокринная хирургия</journal-title><trans-title-group xml:lang="en"><trans-title>Endocrine Surgery</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2306-3513</issn><issn pub-type="epub">2310-3965</issn><publisher><publisher-name>Типография «Печатных дел Мастер»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14341/serg2015135-41</article-id><article-id custom-type="elpub" pub-id-type="custom">endoserg-7161</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Обзоры литературы</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Review of literature</subject></subj-group></article-categories><title-group><article-title>Профилактическая центральная лимфодиссекция (VI уровня) при папиллярном раке щитовидной железы</article-title><trans-title-group xml:lang="en"><trans-title>Prophylactic central lymph nodes dissection (VI level) in papillary thyroid cancer</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7721-634X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Румянцев</surname><given-names>Павел Олегович</given-names></name><name name-style="western" xml:lang="en"><surname>Rumiantsev</surname><given-names>Pavel Olegovich</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, заместитель директора</p></bio><bio xml:lang="en"><p>MD, PhD, Deputy director for innovation development in Endocrinology Research Centre</p></bio><email xlink:type="simple">rumyantsev.pavel@endocrincentr.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ "Эндокринологический научный центр" Минздрава России, Москва</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Endocrinology Research Centre, Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2015</year></pub-date><pub-date pub-type="epub"><day>08</day><month>05</month><year>2015</year></pub-date><volume>9</volume><issue>1</issue><fpage>35</fpage><lpage>41</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Румянцев П.О., 2015</copyright-statement><copyright-year>2015</copyright-year><copyright-holder xml:lang="ru">Румянцев П.О.</copyright-holder><copyright-holder xml:lang="en">Rumiantsev P.O.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.surg-endojournals.ru/jour/article/view/7161">https://www.surg-endojournals.ru/jour/article/view/7161</self-uri><abstract><p>Метастатическое поражение лимфатических узлов центральной клетчатки шеи при папиллярном раке щитовидной железы (ПРЩЖ) встречается часто, однако превентивная центральная лимфодиссекция достоверно не влияет на показатели общей и безрецидивной выживаемости пациентов. Между тем при ее рутинном выполнении ощутимо увеличивается частота послеоперационных осложнений. С точки зрения соотношения эффективность/ безопасность профилактическая центральная лимфодиссекция не может быть рекомендована в дополнение к тиреоидэктомии у всех больных ПРЩЖ.</p></abstract><trans-abstract xml:lang="en"><p>Metastatic involvement of central lymph nodes in patients with papillary thyroid cancer (PTC) is very common. However, prophylactic central lymph nodes dissection additionally to thyroidectomy does not significantly affect disease-free and overall survival of PTC patients. Meanwhile its routine conduction is tangibly increase postsurgical complications. From efficacy/safety point of view prophylactic central lymph nodes dissection couldn't be recommended as substantiated in all PTC patients.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>папиллярный рак щитовидной железы</kwd><kwd>профилактическая центральная лимфодиссекция</kwd><kwd>эффективность</kwd><kwd>осложнения</kwd></kwd-group><kwd-group xml:lang="en"><kwd>papillary thyroid cancer</kwd><kwd>prophylactic central neck dissection</kwd><kwd>efficacy</kwd><kwd>complications</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">So YK, Son YI, Hong SD, et al. Subclinical lymph node metastasis in papillary thyroid microcarcinoma: a study of 551 resections. Surgery. 2010;148(3):526-531. doi: 10.1016/j.surg.2010.01.003.</mixed-citation><mixed-citation xml:lang="en">So YK, Son YI, Hong SD, et al. 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