Title: Three-segmented recurrent laryngeal nerve in capsular dissection of thyroid gland
Abstract: OBJECTIVE To investigate the significance of three-segmented recurrent laryngeal nerve(RLN)in reducing the risk of RLN injuries in the capsular dissection of thyroid gland.METHODS The surgeries were performed in 112 cases of unilateral thyroid lobectomy for patients with benign thyroid diseases.During the procedure,midline approach and capsular dissection were used,and different technique for dissecting thyroid gland were adapted according to the relationship between RLN and ligament of berry.RESULTS False capsule behind the thyroid were found intact in 109 cases(97.3%)after unilateral lobectomy,the RLN were visible posterior and lateral to Berry ligament in 91 cases(81.2%).There were no cases of nerve exposure during operation,no case of hoarseness,and no cases of changed voice in the 3 months follow-up.CONCLUSION In the thyroid lobectomy for patients with benign disease,understanding of the three segments of RLN is benefit for surgeon to reduce the risk of RLN injuries.
Publication Year: 2012
Publication Date: 2012-01-01
Language: en
Type: article
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