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01-03-2017 | ORIGINAL ARTICLE

The advantages of extended subplatysmal dissection in thyroid surgery—the “mobile window” technique

Authors: Tina Runge, Roman Inglin, Philipp Riss, Andreas Selberherr, Reto M. Kaderli, Daniel Candinas, Christian A. Seiler

Published in: Langenbeck's Archives of Surgery | Issue 2/2017

Abstract

Purpose

Minimal access thyroidectomy, using various techniques, is widely known, but respective data on thyroidectomy for thyroid cancer with lymphadenectomy is scarce. The present study aims to evaluate the feasability of extended subplatysmal dissection in combination with a small incision (“mobile window” technique).

Methods

A retrospective study was performed analysing data from 93 patients. All patients suffered from thyroid carcinoma and underwent (total) thyroidectomy, bilateral cervico-central (levels VI and VII) and functional lateral neck dissection (levels II to V) on the side of the malignancy. In group A, consisting of 47 patients, the operation was performed by a traditional Kocher incision (minimal range 6–7 cm), in 46 patients (group B) a mini-incision (≤4 cm) was made. Intra- and postoperative morbidity as well as oncological accuracy were assessed.

Results

There was no significant difference between the two groups comparing postoperative pathological diagnosis, intra- and postoperative complications and the number of removed lymph nodes. However, operating time was slightly longer in group A and thyroid weight was heavier in group B.

Conclusions

Extended subplatymsal dissection allows thyroidectomy and even lateral lymphadenectomy for thyroid carcinoma via “mobile” mini-incision. The procedure is safe, of equivalent oncological accuracy compared to traditional incision and the cosmetic results are excellent.

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Title: The advantages of extended subplatysmal dissection in thyroid surgery—the “mobile window” technique
Authors: Tina Runge
Roman Inglin
Philipp Riss
Andreas Selberherr
Reto M. Kaderli
Daniel Candinas
Christian A. Seiler
Publication date: 01-03-2017
Publisher: Springer Berlin Heidelberg
Published in: Langenbeck's Archives of Surgery / Issue 2/2017
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-016-1545-6

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The advantages of extended subplatysmal dissection in thyroid surgery—the “mobile window” technique

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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