New Data on Surgical Anatomy of Parathyroid Glands

Черных, А В; Maleev, Yu. V.; Cherednikov, Evgeniy; Шевцов, Артём Николаевич; Golovanov, D. N.

doi:10.18484/2305-0047.2016.1.26

Novosti Khirurgii

2016

DOI: 10.18484/2305-0047.2016.1.26

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New Data on Surgical Anatomy of Parathyroid Glands

А В Черных¹,

Yu. V. Maleev²,

Evgeniy Cherednikov³

et al.

Abstract: Цель. Разработать новые подходы к оценке хирургической анатомии околощитовидных желез и на основе этого получить новые данные, позволяющие повысить качество планирования и проведения операций на органах шеи, уменьшить вероятность возникновения диагностических ошибок и развития интраоперационных и послеоперационных осложнений.Материал и методы. Исследование выполнено на 152 трупах мужчин (средний возраст -47,0±1,0 год) и 68 трупах женщин (51,3±1,9 лет). Перед вскрытием каждого трупа производилось измерение антр… Show more

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Reference notes for operating surgeons from classical positions and research methods of academician V.N. Shevkunenko (1872–1952) school based on new data regarding typical anatomy of the neck

Romashchenko

Maleev²,

Fomin³

et al. 2022

Perm Medical Journal

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Objective. To reflect new information on the typical anatomy of the neck in brief notes for endocrine surgeons from the classical positions and research methods of the school of Academician V.N. Shevkunenko. Materials and methods. The design of the study (from 1994 to the present day) consisted of three main directions. While developing an optimal technique of cervical somatometry, 775 healthy individuals (300/38.7 % men, 475/61.3 % women) were examined. The topographo-anatomical block 426 unfixed corpses of persons who died suddenly (290/68 % men, 136/32 % women). Section, dissection, plastination, morphometry, anthropometry, standard histological technique were used. The clinical part of the study included 214 patients (28/13.1 % men, 186/86.9 % women). Results. The article presents the data of analysis and systematization of accumulated data on the typical anatomy of the neck in the form of a brief abstract for operating surgeons from the classical positions of topographic anatomists of Voronezh and St. Petersburg schools of Academician V.N. Shevkunenko. Conclusions. The revealed new typical features of the shape, sizes, structure and position of the thyroid gland (presence or absence of the pyramidal lobe, retrothyroid processes, Zuckerkandl's tubercle), its blood supply, basic and additional guidelines for the search and visualization of the parathyroid glands and recurrent laryngeal nerve during surgery and preoperative diagnosis, the concept of high-risk areas of surgical actions, the features of the bilateral symmetrical and/or asymmetric arrangement and structure of the anatomical formations of the neck can be used during the surgery, widely introduced into the educational process of students, residents, postgraduate courses and for improving the skills of endocrine surgeons during master classes.

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Reference notes for operating surgeons from classical positions and research methods of academician V.N. Shevkunenko (1872–1952) school based on new data regarding typical anatomy of the neck

Romashchenko

Maleev²,

Fomin³

et al. 2022

Perm Medical Journal

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show abstract

Application of the original method of intra-operative electrophysiological stimulation of recurrent laryngeal nerve with surgical interventions on the neck organs

Коваленко

Толстокоров

Kotov

et al. 2020

VESTNIK KHIRURGII IMENI I.I.GREKOVA

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The OBJECTIVE was the reduction in the frequency of specific complications of surgical treatment of patients with pathology of the thyroid and parathyroid glands using the original method of monitoring the neuro-functional activity of the recurrent laryngeal nerve.METHODS AND MATERIALS. The research was conducted in two stages. At the first stage, the object of the topographic-anatomical study was 50 male and female corpses. The research, based on the fixed material, was focused upon the study of the anatomic special features of recurrent laryngeal nerves, their relations with neighboring structures, the study of peculiarities of recurrent laryngeal nerve syntopy and its neighboring structures to find the least traumatic way of incision during electroneurophysiological monitoring of activity. At the second stage, the object of the study was 60 patients with a benign pathology of the thyroid gland, who were operated on with the use of the original method of intra-operational visualization and control method over neuro-functional activity of recurrent laryngeal nerve.RESULTS. The frequency of the three different variants of topographic-anatomical position of recurrent laryngeal nerve depends on the side of the body. The safest, stable and the fastest one to be found is the left recurrent laryngeal nerve. Postoperative unilateral paresis of the larynx, diagnosed in 4 of 60 patients, is regarded as postischemic. Two-sided paresis of the larynx was diagnosed in 1 patient.CONCLUSION. This method allows to minimize the development of severe intraoperative complications, to reduce the frequency of postoperative paralysis and paresis of the larynx. Intra-operative visualization of recurrent laryngeal nerves is especially necessary during the repeated surgeries with postoperative scar transformations with wrong syntopy of neck organs and vascular-nerve structures, which makes it possible to minimize the number of postoperative paralyses and paresis of larynx and to get positive effect without carrying out the intubation of trachea among patients with postoperative paralysis of larynx or stenosis, and to avoid more serious damage of larynx or trachea in case of intubation.

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Intraoperative and Postoperative Complications in Surgical Treatment of Nodular and Multinodular Forms of the Euthyroid Goiter

Zarivchatsky

Самарцев

Volkov

et al. 2022

jour

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Intra- and postoperative complications in the surgical treatment of nodular and multinodular euthyroid goiter make up from 0.3 to 8.0% of the number of operated patients. Depending on the clinical picture, data of morphological, radiation, laboratory studies, various types of surgical interventions are used. The objective was to analyze the causes and search for ways to prevent and treat the ntraoperative and postoperative complications in the surgical treatment of patients with nodular and multinodular euthyroid goiter. Methods and materials. There was conducted the analysis of the techniques and results of surgical treatment of 303 patients with nodular euthyroid goiter and 377 patients with multinodular euthyroid goiter, divided into two groups: the main group (352 patients) and comparison (328 patients). Results. The immediate and long-term results of the treatment of patients were studied with the detailing of specific and nonspecific complications by groups. Methods for optimizing diagnostic and treatment technologies have been developed, immediate and long-term results of treatment have been evaluated. Conclusion. The use of improved technologies has reduced the number of intraoperative and postoperative complications and improved treatment results.

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New Data on Surgical Anatomy of Parathyroid Glands

Cited by 3 publications

References 1 publication

Reference notes for operating surgeons from classical positions and research methods of academician V.N. Shevkunenko (1872–1952) school based on new data regarding typical anatomy of the neck

Reference notes for operating surgeons from classical positions and research methods of academician V.N. Shevkunenko (1872–1952) school based on new data regarding typical anatomy of the neck

Application of the original method of intra-operative electrophysiological stimulation of recurrent laryngeal nerve with surgical interventions on the neck organs

Intraoperative and Postoperative Complications in Surgical Treatment of Nodular and Multinodular Forms of the Euthyroid Goiter

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