BACKGROUND: Central compartment lymph node dissection is a common adjunct to thyroidectomy in the treatment of @entity3557 . The indications, surgical technique, potential benefits, and operative risks of this procedure should be clearly defined in order to provide optimal care to these @entity1 . METHODS: A systematic review of the literature and an analysis of evidence-based recommendations were performed regarding central neck node dissection for @entity1 with @entity3557 . RESULTS: Cervical nodal @entity3 in @entity3557 is a common occurrence. The presence of @entity3 is associated with increased recurrence rates and may decrease survival. Detection of central and lateral neck nodal @entity3 preoperatively with clinical examination and cervical ultrasound is important in determining the appropriate initial surgical management. Level VI neck dissection and central neck dissection are terms often used interchangeably to describe surgical excision of all lymph nodes from the hyoid bone to the sternal notch between the carotid arteries, but the addition of the superior mediastinal lymph nodes in compartment VII should be included in the central neck dissection. Due to improved recurrence rates and survival, therapeutic central neck dissection is recommended for all @entity1 with nodal involvement detected pre- or intraoperatively. Prophylactic central neck dissection in @entity1 without detectable @entity66 remains a controversial topic due to a lack of definitive evidence of improved recurrence rates or survival and the possibility of higher complication rates compared to total thyroidectomy alone. Reoperative central nodal dissection can be a challenging procedure with increased complication rates but with good outcomes in experienced centers. CONCLUSIONS: Central neck lymph node dissection plays an important role in the appropriate treatment of @entity3557 at initial presentation and in cases of recurrent disease. Surgeons caring for this group of @entity1 should have familiarity and skill with this procedure.

Central neck dissection for XXXX .

@entity3557 :: ('MESH:C536915', 'Disease') :: ['papillary thyroid carcinoma', 'papillary thyroid cancer'] @entity1 :: ('9606', 'Species') :: ['patients'] @entity66 :: ('MESH:D004194', 'Disease') :: ['nodal disease'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis']
@entity3557 :: (MESH:C536915,Disease) :: ['papillary thyroid cancer']
