Application of Meticulous Capsular Dissection Technique in the Prevention of Recurrent Laryngeal Nerve and Parathyroid Injuries in Thyroid Operations
10.3969/j.issn.1009-6604.2014.09.010
- VernacularTitle:精细被膜解剖法在甲状腺手术中预防喉返神经与甲状旁腺损伤的应用
- Author:
Hairui YANG
;
Qingshen DONG
- Publication Type:Journal Article
- Keywords:
Thyroidectomy;
Recurrent laryngeal nerve;
Capsular dissection technique
- From:
Chinese Journal of Minimally Invasive Surgery
2014;(9):802-804
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the application and effects of meticulous capsular dissection technique in the prevention of recurrent laryngeal nerve and parathyroid injuries in thyroid operations . Methods A retrospective analysis of clinical data of 195 cases which received meticulous capsular dissection technique in thyroid operations from June 2007 to June 2012 was carried out .All the cases were supermicro-dissected in the loose clearance between real and false thyroid capsules , leaving the blood vessel dissected close to the real thyroid capsule . Results The operation was successfully performed in all the 195 patients, with recurrent laryngeal nerve clearly exposed in the operation in 9 patients.There were 4 cases of transient recurrent laryngeal nerve paralysis (2.1%) and 1 case of permanent paralysis (0.5%).No permanent recurrent laryngeal nerve and superior laryngeal nerve injuries and permanent hypoparathyroidism happened in the remaining cases . Conclusion The use of meticulous capsular dissection technique not only can effectively avoid the superior laryngeal nerve and recurrent laryngeal nerve injuries , but also can preserve in situ parathyroid glands and their nutrient vessels .
