World Journal of Endocrine Surgery

Register      Login

VOLUME 8 , ISSUE 2 ( May-August, 2016 ) > List of Articles

RESEARCH ARTICLE

Lateral approach to Thyroid: A Good Technique for Reoperative Thyroid Surgeryat

Duminda DMC Dissanayake, Ranil F Fernando, Iresha J Dissanayake

Citation Information : Dissanayake DD, Fernando RF, Dissanayake IJ. Lateral approach to Thyroid: A Good Technique for Reoperative Thyroid Surgeryat. World J Endoc Surg 2016; 8 (2):141-142.

DOI: 10.5005/jp-journals-10002-1178

Published Online: 01-04-2009

Copyright Statement:  Copyright © 2016; The Author(s).


Abstract

Introduction

Thyroidectomy is the commonest endocrine surgical procedure undertaken throughout the world. Redo thyroidectomies are challenging procedures with a higher morbidity rate. Lateral approach to thyroid (LATT) is a good alternative to the standard midline exploration. The key to the technique is the development of the natural tissue plane between the strap muscle and the ipsilateral sternocleidomastoid muscle to explore the thyroid bed. A study was carried out to assess the efficacy, safety, and complication of LATT.

Materials and methods

Data on patients undergoing LATT in professorial surgical unit, Ragama from 2008 to 2015, were collected prospectively and analyzed. All procedures were done by a single surgeon.

Results

A total of 36 LATTs were done. Data from 32 people were collected, as 4 patients lost follow-up; 29 (90.6%) were females and 3 (9.4%) were males. Their age ranges between 28 and 61 (median 43.37). Three (9.4%) LATTs for parathyroid explorations and out of it one (3.1%) for redo parathyroid explorations were done. Nine (28.1%) cases were redo thyroidectomies and 18 (56.2%) were done with mini incision with lateral approach. Hemithyroidectomies were performed on 28 (87.5%) patients. Bilateral explorations were done on three (9.4%) patients and four (12.5%) lateral approaches were done for completion thyroidectomies for follicular malignant lesions. Transient clinical hypocalcemia was noticed in four (12.5%) patients and one (3.1%) developed hoarseness of voice, which was temporary; and none of them had complications like hematoma and postsurgical stridor.

Conclusion

Lateral approach to thyroid is a safe alternative to the standard approach for reexplorative thyroid surgery.

How to cite this article

Dissanayake DDMC, Fernando RF, Dissanayake IJ. Lateral approach to Thyroid: A Good Technique for Reoperative Thyroid Surgery. World J Endoc Surg 2016;8(2):141-142.


PDF Share
  1. Differential recurrent laryngeal nerve palsy rates after thyroidectomy. Surgery 2014 Nov;156(5):1157-1166.
  2. Recurrent laryngeal nerve paralysis: a complication of thyroidectomy. J Otolaryngol 1997 Dec;26(6):365-367.
  3. A Review on the History of ‘Thyroid Surgery’. Indian J Surgery 2016 Feb;78(1):32-36.
  4. Comparison of recurrence and complication by different thyroidectomy in the treatment of differentiated thyroid carcinoma as initial treatment: a meta-analysis. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2013 Oct;48(10):834-839.
  5. Completion thyroidectomy versus total thyroidectomy: is there a difference in complication rates? An analysis of 350 patients. J Am Coll Surg 2007 Oct;205(4):602-607.
  6. Thyroid and parathyroid surgery: is the medial approach truly elective? Technique and advantage of the lateral approach. Minerva Chir 1997 Nov;52(11):1393-1395.
  7. Lateral endoscopic approach for thyroid and parathyroid surgery. Ann Chir 2006 Jan;131(1):51-56.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.