13
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Anatomía quirúrgica cervical de importancia en cirugía tiroidea Translated title: Surgical anatomy of the neck of importance in thyroid gland surgery

      review-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          La anatomía quirúrgica es la parte de las ciencias básicas que es aplicada por los cirujanos en el desarrollo de los procedimientos quirúrgicos. La anatomía quirúrgica hace énfasis en las áreas corporales con una visión tridimensional de sus estructuras y en las relaciones entre estructuras. El cuello es el sitio con mayor densidad de órganos y tejidos por área corporal. La cirugía de cuello se ha considerado de alta complejidad y en ella el conocimiento profundo de la anatomía permite un adecuado tratamiento con reducción de las complicaciones y las secuelas. El objetivo de esta revisión es ofrecer una aproximación general a los puntos más relevantes que deben considerarse en la cirugía de tiroides.

          Translated abstract

          Surgical anatomy is the field of basic science that is applied by surgeons in the performance of surgical procedures. Surgical anatomy emphasizes the body areas with a three dimension approach and the relationship among the structures. The neck is the site with the highest density or organs and tissues by body area. Neck surgery has been considered as of high complexity and thus a profound knowledge of the anatomy allows for better treatment with consequent reduction in complications and sequelae. The aim of this review is to offer an approach to the more relevant issues that should be considered in the practice of thyroid surgery.

          Related collections

          Most cited references45

          • Record: found
          • Abstract: found
          • Article: not found

          Robot-assisted endoscopic surgery for thyroid cancer: experience with the first 100 patients.

          Various robotic surgical procedures have been performed in recent years, and most reports have proved that the application of robotic technology for surgery is technically feasible and safe. This study aimed to introduce the authors' technique of robot-assisted endoscopic thyroid surgery and to demonstrate its applicability in the surgical management of thyroid cancer. From 4 October 2007 through 14 March 2008, 100 patients with papillary thyroid cancer underwent robot-assisted endoscopic thyroid surgery using a gasless transaxillary approach. This novel robotic surgical approach allowed adequate endoscopic access for thyroid surgeries. All the procedures were completed successfully using the da Vinci S surgical robot system. Four robotic arms were used with this system: a 12-mm telescope and three 8-mm instruments. The three-dimensional magnified visualization obtained by the dual-channel endoscope and the tremor-free instruments controlled by the robotic systems allowed surgeons to perform sharp and precise endoscopic dissections. Ipsilateral central compartment node dissection was used for 84 less-than-total and 16 total thyroidectomies. The mean operation time was 136.5 min (range, 79-267 min). The actual time for thyroidectomy with lymphadenectomy (console time) was 60 min (range, 25-157 min). The average number of lymph nodes resected was 5.3 (range, 1-28). No serious complications occurred. Most of the patients could return home within 3 days after surgery. The technique of robot-assisted endoscopic thyroid surgery using a gasless transaxillary approach is a feasible, safe, and effective method for selected patients with thyroid cancer. The authors suggest that application of robotic technology for endoscopic thyroid surgeries could overcome the limitations of conventional endoscopic surgeries in the surgical management of thyroid cancer.
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Video-assisted neck surgery: endoscopic resection of thyroid tumors with a very minimal neck wound.

              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              A prospective evaluation of recurrent laryngeal nerve paralysis during thyroidectomy.

              Recurrent laryngeal nerve paralysis after thyroidectomy can be unrecognized without routine laryngoscopy, and patients have a good potential for recovery during follow-up. A prospective evaluation of vocal cord function before and after thyroidectomy. Periodic vocal cord assessment was performed until recovery of cord function. Persistent cord palsy for longer than 12 months after the operation was regarded as permanent. A university hospital with about 150 thyroid operations performed by 1 surgical team per year. From January 1, 1995, to April 30, 1998, 500 consecutive patients (84 males and 416 females) with documented normal cord function at the ipsilateral side of the thyroidectomy were studied. Vocal cord paralysis after thyroidectomy. There were 213 unilateral and 287 bilateral procedures, with 787 nerves at risk of injury. Thirty-three patients (6.6%) developed postoperative unilateral cord paralysis, and 5 (1.0%) had recognizable nerve damage during the operations. Complete recovery of vocal cord function was documented in 26 (93%) of 28 patients. The incidence of temporary and permanent cord palsy was 5.2% and 1.4% (3.3% and 0.9% of nerves at risk), respectively. Among factors analyzed, surgery for malignant neoplasm and recurrent substernal goiter was associated with an increased risk of permanent nerve palsy. Primary operations for benign goiter were associated with a 5.3% and 0.3% incidence (3.4% and 0.2% of nerves at risk) of transient and permanent nerve palsy, respectively. Unrecognized recurrent laryngeal nerve palsy occurred after thyroidectomy. Thyroid surgery for malignant neoplasms and recurrent substernal goiter was associated with an increased risk of permanent recurrent nerve damage. Postoperative vocal cord dysfunction recovered in most patients without documented nerve damage.
                Bookmark

                Author and article information

                Journal
                rcci
                Revista Colombiana de Cirugía
                rev. colomb. cir.
                Asociación Colombiana de Cirugía (Bogotá, Distrito Capital, Colombia )
                2011-7582
                2619-6107
                March 2014
                : 29
                : 1
                : 50-58
                Affiliations
                [01] Medellín orgnameHospital Pablo Tobón Uribe Colombia
                [03] orgnameUniversidad Surcolombiana
                [02] Manizales orgnameUniversidad de Caldas orgdiv1Facultad de Salud Colombia
                [04] Bogotá orgnameUniversidad Surcolombiana Colombia
                Article
                S2011-75822014000100008 S2011-7582(14)02900108
                dd5baa53-078b-44a6-b807-8f9c4ade083f

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 16 September 2013
                : 26 November 2013
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 24, Pages: 9
                Product

                SciELO Colombia

                Categories
                Artículo de revisión

                thyroid gland,thyroid diseases,thyroid neoplasms,surgery,anatomy,glándula tiroides,enfermedades de la tiroides,neoplasias de la tiroides,cirugía,anatomía

                Comments

                Comment on this article