Reduced low-traumatic access thyroidectomy with central neck dissection
Background. In the year 2014 in Russia there were about 10 thousand patients with newly diagnosed thyroid cancer (TC), the bulk of which need surgical treatment. Currently, special requirements to the quality of surgical intervention, which is determined by the radicalness, minimum number of complic...
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ABV-press
2016-03-01
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| Series: | Опухоли головы и шеи |
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| Online Access: | https://ogsh.abvpress.ru/jour/article/view/199 |
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| author | A. V. Shabunin D. D. Dolidze S. O. Podvyaznikov K. V. Mel’nik R. B. Mumladze A. V. Vardanyan I. N. Lebedinskiy Z. A. Bagateliya N. N. Gogitidze |
| author_facet | A. V. Shabunin D. D. Dolidze S. O. Podvyaznikov K. V. Mel’nik R. B. Mumladze A. V. Vardanyan I. N. Lebedinskiy Z. A. Bagateliya N. N. Gogitidze |
| author_sort | A. V. Shabunin |
| collection | DOAJ |
| description | Background. In the year 2014 in Russia there were about 10 thousand patients with newly diagnosed thyroid cancer (TC), the bulk of which need surgical treatment. Currently, special requirements to the quality of surgical intervention, which is determined by the radicalness, minimum number of complications and a good cosmetic result. Materials and methods. In this paper we present the treatment results of 76 patients with differentiated TC, who received surgical treatment at S.P. Botkin City Clinical Hospital in 2012–2015. All patients underwent an extrafascial operation under general anesthesia in volume thyroidectomy with central lymph node dissection. The operation was carried out with reduced low-traumatic approach length 4–5 sm in front the neck without crossing prelaringeal muscules. For prophylaxis of laryngeal paresis, visualization and indenification laryngeal nerves were performed, with using magnifying devices and neuromyography. To prevent the development of hypoparathyroidism, visualization and preservation of the parathyroid glands was also conducted. To this end, among other measures, a photodynamic method of parathyroid gland visualization using a photosensitizer, a blue light source and local spectroscopy was employed. Results. In the postoperative period, there were 3 (3.9 %) cases of transient hypoparathyroidism. On the scale of intervention POSAS (Patient and observer scar assessment scale) 68 (89.5 %) patient was recognized as a excellent, and 8 (10.5 %) as good. Conclusion. Thus, thyroidectomy and central neck dissection with reduced low-traumatic approach using the suggested methodological approaches gives completeness of our surgical intervention, possibility to avoid the development of permanent specific complications, and better functional and aesthetic results. |
| format | Article |
| id | doaj-art-aba4a92ef28c4e05ba43ddf26db450de |
| institution | Kabale University |
| issn | 2222-1468 2411-4634 |
| language | Russian |
| publishDate | 2016-03-01 |
| publisher | ABV-press |
| record_format | Article |
| series | Опухоли головы и шеи |
| spelling | doaj-art-aba4a92ef28c4e05ba43ddf26db450de2025-08-20T03:37:43ZrusABV-pressОпухоли головы и шеи2222-14682411-46342016-03-0161465410.17650/2222-1468-2016-6-1-46-54188Reduced low-traumatic access thyroidectomy with central neck dissectionA. V. Shabunin0D. D. Dolidze1S. O. Podvyaznikov2K. V. Mel’nik3R. B. Mumladze4A. V. Vardanyan5I. N. Lebedinskiy6Z. A. Bagateliya7N. N. Gogitidze8Russian Medical Academy of Postgraduate Education at the Ministry of Health of Russia; 2/1 Barrikadnaya St., Moscow, 125993, Russia; S.P. Botkin City Clinical Hospital Healthcare Department of Moscow; 5 2nd Botkinskiy Proezd, Moscow, 125284, RussiaRussian Medical Academy of Postgraduate Education at the Ministry of Health of Russia; 2/1 Barrikadnaya St., Moscow, 125993, Russia;Russian Medical Academy of Postgraduate Education at the Ministry of Health of Russia; 2/1 Barrikadnaya St., Moscow, 125993, Russia;Russian Medical Academy of Postgraduate Education at the Ministry of Health of Russia; 2/1 Barrikadnaya St., Moscow, 125993, Russia;Russian Medical Academy of Postgraduate Education at the Ministry of Health of Russia; 2/1 Barrikadnaya St., Moscow, 125993, Russia;Russian Medical Academy of Postgraduate Education at the Ministry of Health of Russia; 2/1 Barrikadnaya St., Moscow, 125993, Russia;S.P. Botkin City Clinical Hospital Healthcare Department of Moscow; 5 2nd Botkinskiy Proezd, Moscow, 125284, RussiaRussian Medical Academy of Postgraduate Education at the Ministry of Health of Russia; 2/1 Barrikadnaya St., Moscow, 125993, Russia; S.P. Botkin City Clinical Hospital Healthcare Department of Moscow; 5 2nd Botkinskiy Proezd, Moscow, 125284, RussiaS.P. Botkin City Clinical Hospital Healthcare Department of Moscow; 5 2nd Botkinskiy Proezd, Moscow, 125284, RussiaBackground. In the year 2014 in Russia there were about 10 thousand patients with newly diagnosed thyroid cancer (TC), the bulk of which need surgical treatment. Currently, special requirements to the quality of surgical intervention, which is determined by the radicalness, minimum number of complications and a good cosmetic result. Materials and methods. In this paper we present the treatment results of 76 patients with differentiated TC, who received surgical treatment at S.P. Botkin City Clinical Hospital in 2012–2015. All patients underwent an extrafascial operation under general anesthesia in volume thyroidectomy with central lymph node dissection. The operation was carried out with reduced low-traumatic approach length 4–5 sm in front the neck without crossing prelaringeal muscules. For prophylaxis of laryngeal paresis, visualization and indenification laryngeal nerves were performed, with using magnifying devices and neuromyography. To prevent the development of hypoparathyroidism, visualization and preservation of the parathyroid glands was also conducted. To this end, among other measures, a photodynamic method of parathyroid gland visualization using a photosensitizer, a blue light source and local spectroscopy was employed. Results. In the postoperative period, there were 3 (3.9 %) cases of transient hypoparathyroidism. On the scale of intervention POSAS (Patient and observer scar assessment scale) 68 (89.5 %) patient was recognized as a excellent, and 8 (10.5 %) as good. Conclusion. Thus, thyroidectomy and central neck dissection with reduced low-traumatic approach using the suggested methodological approaches gives completeness of our surgical intervention, possibility to avoid the development of permanent specific complications, and better functional and aesthetic results.https://ogsh.abvpress.ru/jour/article/view/199surgerythyroid glandparathyroid glandnerve monitoringphotodynamicrecurrent laryngeal nervesuperior laryngeal nervelow-traumatic accessaesthetic result |
| spellingShingle | A. V. Shabunin D. D. Dolidze S. O. Podvyaznikov K. V. Mel’nik R. B. Mumladze A. V. Vardanyan I. N. Lebedinskiy Z. A. Bagateliya N. N. Gogitidze Reduced low-traumatic access thyroidectomy with central neck dissection Опухоли головы и шеи surgery thyroid gland parathyroid gland nerve monitoring photodynamic recurrent laryngeal nerve superior laryngeal nerve low-traumatic access aesthetic result |
| title | Reduced low-traumatic access thyroidectomy with central neck dissection |
| title_full | Reduced low-traumatic access thyroidectomy with central neck dissection |
| title_fullStr | Reduced low-traumatic access thyroidectomy with central neck dissection |
| title_full_unstemmed | Reduced low-traumatic access thyroidectomy with central neck dissection |
| title_short | Reduced low-traumatic access thyroidectomy with central neck dissection |
| title_sort | reduced low traumatic access thyroidectomy with central neck dissection |
| topic | surgery thyroid gland parathyroid gland nerve monitoring photodynamic recurrent laryngeal nerve superior laryngeal nerve low-traumatic access aesthetic result |
| url | https://ogsh.abvpress.ru/jour/article/view/199 |
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