Hemithyroidectomy

Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Skin Incision
Mobilization of Wound Edges
Transection of the Midline
Preparation of the Upper Pole Vessels
Depiction of the Vagus Nerve
Transection of the Inferior Thyroid Artery
Identification of the Inferior Parathyroid Gland
Transection of the Pretracheal and Inferior Vessels
Visualization of the Recurrent Laryngeal Nerve
Resection of the Left Thyroid Lobe
Capsule Suture and Final Neuromonitoring
Wound Closure

Authors

Dr. med. Katharina von Schenk

Lukaskrankenhaus Neuss

Prof. Dr. med. Peter Goretzki

Charite Berlin

Date

date of publication: 25.04.2009
date of update: 01.09.2023

surgery report

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Skin Incision

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3 to 5 cm long Kocher collar incision in the middle, two transverse fingers above the jugulum. Transection of the subcutis down to the ventral cervical fascia.
Mobilization of Wound Edges

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Mobilization of a skin platysma flap cranially and caudally, preferably sparing the straight neck veins.
Transection of the Midline

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After folding back the skin edges, enter the linea alba colli and dissect the straight neck muscles from the thyroid gland.
Preparation of the Upper Pole Vessels

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Palpate both thyroid lobes. Turn to the left side of the thyroid. Expose the upper thyroid pole. Capsule-near interruption of the upper pole vessels and medialization of the thyroid lobe.