What Are the Most Effective Strategies for Recurrent Laryngeal Nerve Preservation in Robotic Thyroidectomy for Advanced Thyroid Cancer?: A Comprehensive Review
10.16956/jes.2024.24.4.91
- Author:
Yoon KONG
1
;
Ja Kyung LEE
;
Hyeong Won YU
;
June Young CHOI
Author Information
1. Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea
- Publication Type:Review Article
- From:
Journal of Endocrine Surgery
2024;24(4):91-97
- CountryRepublic of Korea
- Language:English
-
Abstract:
The recurrent laryngeal nerve (RLN) plays a critical role in maintaining vocal function, and its preservation during thyroid cancer surgery is essential for optimal patient outcomes. This review examines current techniques for RLN preservation, including intraoperative nerve monitoring, sharp dissection, and nerve reconstruction. Additionally, it explores the role of robot-assisted thyroidectomy, particularly the bilateral axillo-breast approach, in enhancing RLN preservation. Advancements in surgical technology and techniques are discussed, along with their implications for future practice. By synthesizing existing evidence, this review aims to guide surgeons in achieving both oncological safety and functional preservation.
