Surgery for thyroid cancer must be able to encompass all potential locations of neoplasms (both benign and malignant) of the thyroid gland. These videos will depict management of the thyroid, central compartment,lateral neck and superior mediastinal areas.
The University of Texas MD Anderson Cancer Center
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A comprehensive right neck dissection including levels II through V is demonstrated preserving all major muscular, neural, and vascular structures for a patient with lateral neck metastatic papillary thyroid carcinoma.
A T4 papillary thyroid cancer with direct involvement of the right recurrent laryngeal nerve identified during intraoperative findings. Preoperative bilateral nerve function was intact. The surgery proceeds in a stepwise fashion, identifying the cancer-invaded nerve and verifying preservation of the contralateral only functioning nerve postoperatively. Total thyroidectomy, bilateral level VI and VII lymphadenectomies (bilateral paratracheal dissection), and nerve reanastomosis are demonstrated.
A T4 papillary thyroid cancer with direct involvement of the right recurrent laryngeal nerve identified during intraoperative findings. Preoperative bilateral nerve function was intact. The surgery proceeds in a stepwise fashion, identifying the cancer-invaded nerve and verifying preservation of the contralateral only functioning nerve postoperatively. Total thyroidectomy, bilateral level VI and VII lymphadenectomies (bilateral paratracheal dissection), and nerve reanastomosis are demonstrated.
A comprehensive right neck dissection including levels II through V is demonstrated preserving all major muscular, neural, and vascular structures for a patient with lateral neck metastatic papillary thyroid carcinoma.
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