Clinical significance of Zuckerkandl's tubercle in endoscopic thyroidectomy
10.3760/cma.j.issn.1673-4203.2015.11.011
- VernacularTitle:Zuckerkandl结节在腔镜甲状腺手术中的临床意义
- Author:
Yuxiang ZHU
;
Jiaxin ZHANG
;
Deyuan FU
;
Zhou LUO
;
Jinli WEI
;
Wenxi SHAO
- Publication Type:Journal Article
- Keywords:
Thyroidectomy;
Recurrent laryngeal nerve;
Parathyroid glands;
Zuckerkandl's tubercle
- From:
International Journal of Surgery
2015;42(11):752-754
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the anatomical relation between Zuckerkandl's tubercle and recurrent laryngeal nerve and the superior parathyroid glands anatomy in endoscopic thyroidectomy.Methods From Jul.2012 to Jun.2014 implementation of the 120 cases of endoscopic thyroid surgery (at least one side of the line lobectomy) intraoperative Zuckerkandl tubercle of the presence, all the patients from Subei People's Hospital and location of the relationship between anatomy recurrent laryngeal nerve and superior parathyroid glands.Zuckerkandl tubercle identified by intraoperative recunent laryngeal nerve to expose and superior parathyroid glands.Results Zuckerkandl tubercle appear in the vast majority of cases: on the left is 86％ (51/59), 88％ in the right side (65/74), most of superior parathyroid glands were located on the top of Zuckerkandl tubercle.Looking for recurrent laryngeal nerve by Zuckerkandl tubercle method is more direct, can reduce surgical bleeding and shmten the operation time.Conclusion Recurrent laryngeal nerve and superior parathyroid glands and have close anatomical relationship with Zuckerkandl tubercle.In endoscopic thyroidectomy by intraoperative discern Zuckerkandl tubercle can better avoid injury recurrent laryngeal nerve and superior parathyroid glands.
