2019年 · 第57卷第12期

papillary thyroid carcinoma (PTC) often has cervical lymph node metastasis, with an incidence of 30% to 70%^[1,2]。 However, PTC parapharyngeal lymph node metastasis reported in domestic and foreign literatures is rare^[3,4]。 The parapharyngeal region is divided into paralaryngopharyngeal, paroropharyngeal and paranasopharyngeal regions from bottom to top. Metastasis of PTC to lymph nodes in oropharyngeal and paranasopharyngeal regions is extremely rare. Surgical resection is the main treatment for parapharyngeal lymph node metastasis of papillary thyroid carcinoma. Because this part is blocked by the mandible, its position is secret, the structure is complicated, and the exposure is difficult. Traditional surgery needs to cut the mandible to expose this area, which is traumatic and will cause permanent damage to the appearance of the maxillofacial region of the patient. We tried to treat papillary thyroid carcinoma with parapharyngeal lymph node metastasis by endoscope-assisted parapharyngeal lymph node dissection through upper cervical approach, which can avoid mandibular incision, and obtained satisfactory preliminary results. The operation technique and treatment effect are reported below.

The 5th National Academic Forum for Young Physicians in General Surgery and the competition of "Chinese Young Scholars in Surgery" jointly sponsored by the Surgery Branch of Chinese Medical Association and the Editorial Committee of Chinese Journal of Surgery have been successfully concluded recently. This forum aims to promote academic exchanges among young general surgeons, encourage more outstanding young talents to stand out, discover and cultivate academic talents of young general surgeons, and select reviewers and reserve talents of the editorial board of Chinese Journal of Surgery. At the same time, the forum selected the "2019 Chinese Surgical Young Scholar Award".

Patient, male, 48 years old, body mass index 28.7 kg/m²He was admitted to hospital for "intermittent hematochezia for 2 months". Colonoscopy showed a polypoid bulge of 3 cm ×3 cm in size in the rectum 15 cm from the anus, with bleeding on the surface, and biopsy showed dysplasia and cancerous change of mucosal glands. The clinical stage of preoperative MRI was T1N0Mx (Figure 1）。 Laparoscopic radical resection of rectal cancer is proposed. Intraoperatively, tumors of the upper rectum were seen, 9 cm from the dentate line and 1 cm from the peritoneal reflex. The procedure was performed according to routine procedures. After the mesorectal cutting was completed, the intestinal blood supply was observed by fluorescence imaging to determine the resection line (Figure 2,Figure 3,Figure 4）。 After the anastomosis was completed, fluorescence imaging was performed again to observe the blood supply of the anastomosis (Figure 5）。 The patient was operated smoothly, drank water 24 h after surgery, had an open liquid diet 48 h after surgery, and was discharged 7 d after surgery.

Professor Sun Jiabang, former vice president and director of general surgery of Xuanwu Hospital of Capital Medical University, former director of the Department of General Surgery of Capital Medical University, and editorial member of the 9th, 10th and 11th editorial boards of Chinese Journal of Surgery, died in Beijing on October 24, 2019 at the age of 82 due to ineffective treatment.

There is an error in the "main result" in the entry NCT02716038 in Table 1 on page 874 of the paper "Progress in the Application of Immune Checkpoint Inhibitors in Neoadjuvant Therapy of Non-small Cell Lung Cancer" published in Volume 57, Issue 11 of this journal in 2019. The correct number should be "pCR + MPR is 50.0% (7/14)", which is hereby corrected.