World Journal of Endocrine Surgery

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VOLUME 8 , ISSUE 3 ( September-December, 2016 ) > List of Articles

RESEARCH ARTICLE

Surgical Techniques for operating on Large Adherent Cervical Nodal Metastases from Thyroid Cancer causing Severe Neck Pain and Compression Effects and encasing Major Vessels

Chanchal Rana

Citation Information : Rana C. Surgical Techniques for operating on Large Adherent Cervical Nodal Metastases from Thyroid Cancer causing Severe Neck Pain and Compression Effects and encasing Major Vessels. World J Endoc Surg 2016; 8 (3):217-219.

DOI: 10.5005/jp-journals-10002-1196

Published Online: 01-12-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

We aim to refine and define surgical techniques for doing difficult adherent bulky cervical nodal metastases from thyroid cancer to help surgeons do dissections with better curability and lesser morbidity.

Background

Patients with thyroid cancer with large nodal metastases presenting with severe neck pain due to compression effects and encasing carotid artery and other major vessels pose a challenge to surgeons to do complete resections while preserving important structures in the neck.

Materials and methods

We define surgical planning and road map to dissect difficult bulky adherent cervical nodes encasing carotid artery and jugular vein by splaying the plane over carotid sheath by doing adventitial level dissection and dissecting medial and lateral to carotid sheath the large nodal mass adherent to adjacent structures preserving the major vessels and nerve plexus.

Conclusion

By appropriate surgical planning and meticulous dissection techniques, we can do major neck dissections with complete resections and same time preserving important structures in the neck minimizing morbidity.

Clinical significance: By doing neck dissections with complete oncological resections and saving vital structures in the neck, we aim to offer best possible chance of cure to the patient along with reduced morbidity at same time.

How to cite this article

Ramakant P, Singh KR, Rana C, Mishra AK. Surgical Techniques for operating on Large Adherent Cervical Nodal Metastases from Thyroid Cancer causing Severe Neck Pain and Compression Effects and encasing Major Vessels. World J Endoc Surg 2016;8(3):217-219.


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  1. Safety and efficacy of modified radical lymph nodes dissection in patients with papillary thyroid cancer (PTC) and clinically manifested lymph metastasis. Khirurgiia (Sofiia) 2006;(2):31-35.
  2. Complications of Neck Dissections in Papillary Thyroid Carcinoma: A Modified Procedure to Reduce Parathyroid Morbidity. In Vivo 2016 May-Jun;30(3):303-308.
  3. Dissection of Levels II Through V Is Required for Optimal Outcomes in Patients with Lateral Neck Lymph Node Metastasis from Papillary Thyroid Carcinoma. J Am Coll Surg 2016 Jun;222(6):1066-1073.
  4. Tumor above the spinal accessory nerve in papillary thyroid cancer that involves lateral neck nodes: a common occurrence. Arch Otolaryngol Head Neck Surg 2002 Nov;128(11):1275-1278.
  5. Cervical lymph node dissection in papillary thyroid cancer: current trends, persisting controversies, and unclarified uncertainties. Surg Oncol 2010 Jun;19(2):e57-e70.
  6. Papillary thyroid cancer: surgical management of lymph node metastases. Curr Treat Options Oncol. 2005 Jul;6(4):311-322.
  7. Management of recurrent cervical papillary thyroid cancer. Endocrinol Metab Clin North Am 2014 Jun;43(2):565-572.
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