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Post a Comment Surgical aspects of topographic and anatomical changes in the neck after hemithyroidectomy
- Authors: Zhirnova A.S.1, Abramzon O.M.1, Lyashchenko S.N.1
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Affiliations:
- Orenburg State Medical University
- Issue: Vol 39, No 5 (2022)
- Pages: 104-111
- Section: Methods of diagnosis and technologies
- URL: https://journals.rcsi.science/PMJ/article/view/112487
- DOI: https://doi.org/10.17816/pmj395104-111
- ID: 112487
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Abstract
Objective. To develop the optimal surgical techniques for repeated interventions on the thyroid gland, taking into account topographic and anatomical changes in the neck after a previous hemithyroidectomy.
Materials and methods. The results of repeated surgical treatment of 69 patients (divided into two groups) with various pathologies of the thyroid gland were analyzed. Patients of the main group (39 person) underwent magnetic resonance imaging of the soft tissues of the neck before the surgery. In the comparison group (30 person), reintervention in the volume of thyroidectomy was performed in the classical way without tomography.
Results. Based on magnetic resonance imaging of the soft tissues of the neck, the topographic anatomy of its anterior section in patients after hemithyroidectomy was studied. Two types of disposition of organs and structures were revealed: anterior lateral and posterior medial. The first type is characterized by an anterior displacement of the esophagus to the posterior surface of the lateral lobe of the thyroid gland and the neurovascular bundle. In the second type, a tight contact between the thyroid gland and the short muscles of the neck and displacement of the carotid artery and jugular vein posteriorly and medially was detected. Surgical techniques for repeated surgical intervention have been adjusted for each type of disposition.
Conclusions. The proposed techniques made it possible to minimize the length of surgical access, the duration of intervention, the severity of pain syndrome, as well as the number of intra- and postoperative complications.
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##article.viewOnOriginalSite##About the authors
A. S. Zhirnova
Orenburg State Medical University
Email: oringirl@mail.ru
Candidate of Medical Sciences, Associate Professor, Department of General Surgery
Russian Federation, OrenburgO. M. Abramzon
Orenburg State Medical University
Author for correspondence.
Email: oringirl@mail.ru
MD, PhD, Professor, Department of General Surgery
Russian Federation, OrenburgS. N. Lyashchenko
Orenburg State Medical University
Email: oringirl@mail.ru
MD, PhD, Professor, Department of Operative Surgery and Clinical Anatomy named after S.S. Mikhailov
Russian Federation, OrenburgReferences
- Kukhtenko Yu. V., Shulutko A.M., Semikov V.I., Kosivtsov O.A., Mikhin I.V., Ryaskov L.A. The structure of thyroid diseases in patients of different age groups. Vestnik Volgogradskogo gosudarstvennogo medicinskogo universiteta 2016; 3 (59): 130–136 (in Russian).
- Romanchishen A.F., Gostimsky A.V., Akinchev A.L., Karpatsky I.V., Matveeva Z.S., Vabalaite K.V. Oncological risk of recurrent goiter. Golova i sheya = Head and neck. Russian Journal 2019; 7 (2): 12–17 (in Russian).
- Indian J., Atul M.B., Pradheep K. Role of Total Thyroidectomy in Painful (Symptomatic) Hashimoto's Thyroiditis: Descriptive Study. Otolaryngology. Head and Neck Surgery 2021; 73 (3): 296–303 (in Russian).
- Sitges-Serra A., Lorente-Poch L., Sancho J. Parathyroid autotransplantation in thyroid surgery. Langenbecks Archive of Surgery 2018; 403 (3): 309–315 (in Russian).
- Styazhkina S.N., Chernyadeva E.V., Chernysheva T.E., Kazakova I.A., Tikhomirova G.I., Kolbina T.V., Nabiullina Z.R. Analysis of the development of recurrence during operations on the thyroid gland. Modern Science 2021; 11 (2): 66–68 (in Russian).
- Maleev Yu.V., Chernykh A.V. Rationale for surgical interventions in the anterior region of the neck based on new topographic and anatomical data. Ukrainskij zhurnal e`ksperimental`noj mediciny` imeni O. Mozhaeva 2014; 14 (3): 20–24 (in Russian).
- Gerasimov G.A. Sad statistics. Klinicheskaya i e`ksperimental`naya tireoidologiya 2015; 11 (4): 6–12 (in Russian).
- Makarov I.V., Galkin R.A., Shpigel A.S., Lebedeva E.A., Akhmataliev T. Kh., Romanov R.M. Surgical tactics in the treatment of patients with thyroid diseases. Aspirantskij vestnik Povolzh`ya 2017; 1–2: 113–117 (in Russian).
- Zhirnova S.N. Lyashchenko O.M. Abramzon Patent A method for preoperative planning of reoperations on the thyroid gland. Patent RF № 2733321, 2019; 3 (in Russian).
- Naja H., Tresallet C. Role of frozen section in the surgical management of indeterminate thyroid nodules. Gland Surgery 2019; 8 (2): 112–117 (in Russian).
- Mikhailichenko V.Yu., Kerimov E.Ya., Butyrsky A.G., Kerimov E.E., Trofimov P.S., Samarin S.A. Reoperations for thyroid cancer. Tavricheskij mediko-biologicheskij vestnik 2021; 24 (22): 180–185 (in Russian).
- Osechkin I.A., Malenko K.Yu. Statistics of complications after thyroidectomy in thyroid diseases. Aktual`ny`e problemy` teoreticheskoj i prakticheskoj mediciny` 2020; 2: 224–225 (in Russian).
- Roman B.R., Randolph G.W., Kamani D. Conventional Thyroidectomy in the Treatment of Primary Thyroid Cancer. Endocrinology and Metabolism Clinics of North America 2019; 48 (1): 125–141 (in Russian).
- Duboshina T.B., Askerov M.R. Ways to improve the quality of life of surgical patients with thyroid pathology. Vestnik xirurgii imeni I.I. Grekova 2015; 180 (1): 50–52 (in Russian).
- Voskanyan S.E., Naydenov E.V., Korsakov I.N., Bazhanova Yu.A. Clinical efficacy of water jet dissection in thyroid surgery (immediate results; quality of life of patients). Saratovskij nauchno-medicinskij zhurnal 2015; 11 (4): 663–667 (in Russian).
- Romanchishen A.F., Gostimsky A.V., Karpatsky I.V. Surgical anatomy of the capsule and fascial sheath of the thyroid gland. Medicina: teoriya i praktika 2017; 2 (4): 10–18 (in Russian).
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