Restthyroidectomy with partial central lymph node dissection on the left

general and visceral surgery

readingtime 46:13 min.

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Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Skin Incision/Scar Excision
Mobilization of Wound Edges
Entering the Thyroid Bed at the Anterior Edge of the Sternocleidomastoid Muscle
Exposure, Mobilization, and Neuromonitoring of the Vagus Nerve
Identification of the Recurrent Laryngeal Nerve
Partial Resection of the Ipsilateral Central Lymph Node Compartment
Visualization of the Recurrent Laryngeal Nerve to the Larynx
Interruption of the Upper Pole Vessels
Visualization of the Upper Parathyroid Gland
Mobilization and Extirpation of the Thyroid Lobe
Final Neuromonitoring of the Recurrent Laryngeal Nerve and Vagus Nerve
Layered Wound Closure

Authors

Dr. med. Katharina von Schenk

Dr. med. Katharina von Schenk

Lukaskrankenhaus Neuss

Prof. Dr. med. Peter Goretzki

Prof. Dr. med. Peter Goretzki

Charite Berlin

Date

date of publication: 09.07.2012
date of update: 05.02.2023

Skin Incision/Scar Excision

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The operation demonstrates a completion surgery following a right hemithyroidectomy performed years ago due to papillary thyroid carcinoma. The current findings revealed a left uninodular goiter with an approximately 7 mm centrally located nodule and perithyroidal lymph node enlargement on the left.
Excision of the old scar from a previous Kocher's collar incision.

Mobilization of Wound Edges

Mobilization of a skin-platysma flap cranially up to the larynx and caudally to the jugulum, with c

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After activation, you can expect the following content:

Skin Incision/Scar Excision
Mobilization of Wound Edges
Entering the Thyroid Bed at the Anterior Edge of the Sternocleidomastoid Muscle
Exposure, Mobilization, and Neuromonitoring of the Vagus Nerve
Identification of the Recurrent Laryngeal Nerve
Partial Resection of the Ipsilateral Central Lymph Node Compartment
Visualization of the Recurrent Laryngeal Nerve to the Larynx
Interruption of the Upper Pole Vessels
Visualization of the Upper Parathyroid Gland
Mobilization and Extirpation of the Thyroid Lobe
Final Neuromonitoring of the Recurrent Laryngeal Nerve and Vagus Nerve
Layered Wound Closure