Abstract
Abstract
Introduction:
The prognostic significance of lymph node metastases in patients with well-differentiated thyroid cancer is still controversial. However, lateral compartment nodal involvement may require more aggressive surgical intervention, such as lateral neck dissection, for the associated increased rates of recurrence and distant metastases. The most common procedure today implies a selective functional lateral neck dissection, preserving the sternocleidomastoid muscle, the accessory nerve, and the internal jugular vein. The rationale for selective lateral neck dissection for differentiated thyroid cancer is to reduce the potential morbidity of operation without compromising the oncologic benefit.
Case:
This is a patient who has previously undergone a total thyroidectomy with subsequent radioactive iodine therapy for papillary thyroid carcinoma and is now presenting with nodal metastases to the lateral neck compartment on surveillance and follow-up with ultrasound and fine-needle aspiration biopsy.
Conclusion:
This video illustrates the technique of a comprehensive functional lateral compartment neck dissection for the treatment of metastatic papillary thyroid carcinoma to the lateral neck compartment, including levels II through IV and Vb. There were no perioperative complications encountered.
Runtime of video: 10 mins 37 secs
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