Protection of recurrent laryngeal nerve in endoscopic thyroidectomy through the upper part of sternum
- VernacularTitle:胸骨前内镜下甲状腺手术喉返神经损伤的预防
- Author:
Xiangmin DING
;
Jingwang TAN
;
Jiaxin ZHANG
;
Linhai ZHU
- Publication Type:Journal Article
- Keywords:
Thyroidectomy;
Endoscopy;
Recurrent laryngeal nerve;
Wound and injuries
- From:
Chinese Journal of Current Advances in General Surgery
2009;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the methods of protecting recurrent laryngeal nerve(RLN) in endoscopic thyroidectomy through the upper part of sternum.Methods:The clinilical data of 46 cases underwent endoscopic thyroidectomy through the upper part of sternum was analyzed.RLN was revealed when we performed nodulectomy or partial thyroidectomy.But during subtotal and near-total thyroidectomy the RLN was always revealed.Results:Forty-five of forty-six cases were compeleted successfully with endoscopic thyroidectomy.One case was converted to open thyroidectomy because of thyroid carcinoma.No intraoperative or postoperative hemorrhage,RLN injuried and deadlimb occurred.Conclusion:In order to reduce the injury of RLN,we should select the fitting cases strictly,master the opportunity and methods of revealed RLN.
