Abstract
Abstract
Introduction:
Surgery, the primary treatment for thyroid cancer, 1 involves a constant real-time assessment and active process. Intraoperative decision whether the patient has high-risk features directly influences surgical extent and postoperative adjuvant treatment.
Materials and Methods:
We highlighted 10 points requiring dynamic intraoperative decision-making. These intraoperative settings and surgical techniques were demonstrated by video footage.
Results:
These included positioning, inspection of the Delphian lymph nodes, 2 assessment of strap muscles adherence, protection of the parathyroid glands, 3 dissection at the ligament of Berry, confirmation of complete removal of thyroid but not parathyroid tissue, nodal status assessment posterior to the recurrent laryngeal nerve, the need for conversion to a compartment-oriented therapeutic central neck dissection, 4 extent of the superior most aspect of a therapeutic lateral neck dissection, and detailed information in the operative note.
Conclusions:
Through these 10 points, surgeons may minimize persistent or recurrent diseases as well as ensure safety. Such information would facilitate postoperative decision-making by the multidisciplinary team.
No competing financial interests exist.
Runtime of video: 10 mins
The video is presented at the ATA Session, October 6, 2018, Washington, DC.
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