Abstract
An: 2019, Nr.2, Articol Nr. 3
Title: 

THE IMPORTANCE OF ANATOMICAL STUDY TO THE PERFORMANCE OF SAFE THYROID SURGERY

Authors: 

      M. Nadragea - “Carol Davila” University of Medicine and Pharmacy, Bucharest, “Carol Davila” Doctoral School
      O. Enciu, A. Miron - “Carol Davila” University of Medicine and Pharmacy, Bucharest; Elias University Emergency Hospital, Bucharest, General Surgery Department
      I. Bulescu, A. Breazu, C.M. Pantu, F.M. Filipoiu - “Carol Davila” University of Medicine and Pharmacy, Bucharest, Department of Anatomy
      THE IMPORTANCE OF ANATOMICAL STUDY TO THE PERFORMANCE OF SAFE THYROID SURGERY (Abstract): Surgeons attempting thyroidectomy need to have a thorough knowledge of embryology, surgical anatomy and variations of the thyroid gland in order to prevent surgical complications. Safe thyroid surgery requires an operative plan, based on anatomical steps which are fallowed in a logical order. Using the correct technique, the thyroid lobectomy and total thyroidectomy, can be performed with minimal risk of injury to the laryngeal nerves, and the parathyroid glands. Using “capsular dissection” and ligating the tertiary branches of the inferior thyroid artery on the gland surface, we can identify and preserve the external branches of the superior laryngeal nerves (SLN), the recurrent laryngeal nerves (RLN) and the parathyroid glands,along with their blood supply. In this paper we describe the technique of total thyroidectomy using capsular dissection, emphasizing on the importance of understanding the surgical anatomy of the thyroid gland.
Key words: CAPSULAR DISSECTION, TOTAL THYROIDECTOMY, TERTIARY BRANCHES OF INFERIOR THYROID ARTERY, RECURRENT LARYNGEAL NERVES, PARATHYROID GLANDS
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