Safe thyroidectomy for thyroid and parathyroid diseases

Belokonev V.I.; Pushkin S.Yu.; Kovaleva Z.V.; Chemidronov S.N.; Bezzubov A.R.; Galstyan N.E.

doi:https://doi.org/10.17116/hirurgia202206162

Belokonev V.I.

Samara State Medical University

Pushkin S.Yu.

Samara State Medical University

Kovaleva Z.V.

Samara State Medical University

Chemidronov S.N.

Samara State Medical University

Bezzubov A.R.

Samara State Medical University

Galstyan N.E.

Samara State Medical University

Safe thyroidectomy for thyroid and parathyroid diseases

Authors:

Belokonev V.I., Pushkin S.Yu., Kovaleva Z.V., Chemidronov S.N., Bezzubov A.R., Galstyan N.E.

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Journal: Pirogov Russian Journal of Surgery. 2022;(6): 62‑71

DOI: 10.17116/hirurgia202206162

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To cite this article:

Belokonev VI, Pushkin SYu, Kovaleva ZV, Chemidronov SN, Bezzubov AR, Galstyan NE. Safe thyroidectomy for thyroid and parathyroid diseases. Pirogov Russian Journal of Surgery. 2022;(6):62‑71. (In Russ.)
https://doi.org/10.17116/hirurgia202206162

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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OBJECTIVE

To offer the ways for safe thyroidectomy aimed at prevention of damage of recurrent laryngeal nerve in patients with thyroid and parathyroid diseases.

MATERIAL AND METHODS

We analyzed postoperative outcomes after thyroidectomy in 342 patients aged 20—80 years. Topography of recurrent laryngeal nerves was studied on 20 laryngeal-tracheal complexes of deceased patients. Technique of visualization of various segments of recurrent laryngeal nerve was worked out.

RESULTS AND DISCUSSION

Thyroidectomy was performed in 342 patients with thyroid and parathyroid diseases. Thyroidectomy was performed in accordance with recommendations described by F.W. Lahey, W.B. Hoover (1938) and H. Malcolm, M.D. Wheeler (1998). Location of recurrent laryngeal nerve varied in patients with nodular, retrosternal goiter and parathyroid gland adenoma. Comparison of intraoperative and morphological data on recurrent laryngeal nerve visualization showed possible risks of its damage during manipulations on thyroid gland, esophagus and trachea. Our study confirmed the need for visualization and mobilization of recurrent laryngeal nerve in all procedures on thyroid and parathyroid glands. Introduction of the described technique of thyroidectomy and training sessions for recurrent laryngeal nerve mobilization on laryngeal-tracheal complexes reduced postoperative incidence of phonation disorders from 21.6% to 0.98%.

CONCLUSION

Thyroidectomy may be a safe procedure if surgeons are familiar with the details of surgical technique and prevent damage to adjacent structures.

Keywords:

thyroidectomy

parathyroidectomy

recurrent laryngeal nerve

prevention of damage

Authors:

Belokonev V.I.

Samara State Medical University

Pushkin S.Yu.

Samara State Medical University

Kovaleva Z.V.

Samara State Medical University

Chemidronov S.N.

Samara State Medical University

Bezzubov A.R.

Samara State Medical University

Galstyan N.E.

Samara State Medical University

Received:

04.06.2021

Accepted:

06.10.2021

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References:

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