The advantages of extended subplatysmal dissection in thyroid surgery-the "mobile window" technique.

Runge, Tina; Inglin, Roman; Riss, Philipp Alexander; Selberherr, Andreas; Kaderli, Reto Martin; Candinas, Daniel; Seiler, Christian A. (2017). The advantages of extended subplatysmal dissection in thyroid surgery-the "mobile window" technique. Langenbeck's archives of surgery, 402(2), pp. 257-263. Springer 10.1007/s00423-016-1545-6

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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.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DBMR Forschung Mu35 > Forschungsgruppe Viszeralchirurgie
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DBMR Forschung Mu35 > Forschungsgruppe Viszeralchirurgie

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine

UniBE Contributor:

Runge, Tina; Inglin, Roman; Riss, Philipp Alexander; Kaderli, Reto Martin; Candinas, Daniel and Seiler, Christian A.

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1435-2443

Publisher:

Springer

Language:

English

Submitter:

Lilian Karin Smith-Wirth

Date Deposited:

14 Jul 2017 12:46

Last Modified:

16 Jan 2018 10:43

Publisher DOI:

10.1007/s00423-016-1545-6

PubMed ID:

28050728

Uncontrolled Keywords:

Cervical lymphadenectomy; Functional neck dissection; Mini-incision; Thyroid cancer; Thyroid carcinoma

BORIS DOI:

10.7892/boris.93385

URI:

https://boris.unibe.ch/id/eprint/93385

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