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Ministernotomy for Thyroid Surgery 甲状腺手术的胸骨切开术
Pub Date : 2019-06-20 DOI: 10.1089/VE.2018.0147
FlatmanSamuel James, J. R. MagareyMatthew, CypelMarcelo, L. FreemanJeremy
Abstract Ministernotomy for thyroid surgery is a useful approach for mediastinal and retrosternal goitres. A ministernotomy involves a midline osteotomy from the sternal notch down the manubrium to...
摘要甲状腺胸骨切开术是治疗纵隔甲状腺肿和胸骨后甲状腺肿的有效方法。胸骨切开术包括从胸骨切迹到柄的中线截骨术。
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引用次数: 0
Retroperitoneoscopic Debridement for Acute Necrotizing Pancreatitis 后腹腔镜清创治疗急性坏死性胰腺炎
Pub Date : 2019-03-18 DOI: 10.1089/VE.2018.0150
L. Orr, A. Tillou, H. Cryer, David C. Gott, M. Livhits
Abstract Introduction: The management of necrotizing pancreatitis with secondary infection has evolved from traditional open necrosectomy to a minimally invasive step-up approach, when feasible.1,2...
摘要:坏死性胰腺炎继发感染的治疗已经从传统的开放性坏死性切除术发展到可行的微创强化方法。
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引用次数: 0
Open Total Parathyroidectomy with Autotransplantation Under Local Cervical Block Anesthesia 局部颈椎阻滞麻醉下开放性甲状旁腺全切除术联合自体移植
Pub Date : 2019-03-18 DOI: 10.1089/VE.2018.0136
Thanaporn Wongbangpho, Pornpeera Jitpratoom, A. Anuwong, Thanyawat Sasanakietkul
Abstract Background: Renal hyperparathyroidism (rHPT) is an endocrine disease that is caused by the hyperfunctioning of the parathyroid glands. Medical treatment is the first option but can be inef...
摘要背景:肾性甲状旁腺功能亢进(rHPT)是一种由甲状旁腺功能亢进引起的内分泌疾病。药物治疗是第一选择,但可能无效。
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引用次数: 0
Parapharyngeal Dissection for Papillary Thyroid Cancer. 咽旁清扫术治疗甲状腺乳头状癌。
Pub Date : 2019-03-18 eCollection Date: 2019-01-01 DOI: 10.1089/ve.2018.0141
Justin Tran, Mark Zafereo

Introduction: Although lymph node metastases are common with papillary thyroid cancer, parapharyngeal and retropharyngeal lymph node metastases are relatively rare. Although small metastatic parapharyngeal lymph nodes (e.g., <1 cm) may be treated with radioactive iodine or observed, larger lymph nodes may require surgical excision. Surgical approaches to the parapharyngeal and retropharyngeal space include transoral and transcervical. Materials and Methods: A 47-year-old female presented with a 2 cm conventional papillary thyroid cancer in the right thyroid lobe with central right lateral neck metastases, as well as a 2.5 cm right parapharyngeal lymph node metastasis extending to the skull base. Surgical technique for transcervical resection of the 2.5 cm parapharyngeal lymph node is illustrated, identifying important anatomical structures. Results: After opening the right neck and removing the right level 2 lymph nodes (not illustrated), the parapharyngeal space is exposed. First, the posterior belly of the digastric and stylohyoid muscles is divided. Next, the hypoglossal nerve is identified and mobilized. Branches of the external carotid artery are then divided and retracted. The sympathetic chain is visualized posterior to the internal carotid artery. The external branch of the superior laryngeal nerve is visualized as it courses posterior to the carotid artery. After gentle retraction of the hypoglossal nerve, superior laryngeal nerve, carotid artery, and sympathetic chain, the parapharyngeal space is exposed with the aforementioned metastatic lymph node. The metastatic lymph node is then freed from the alar fascial and skull base attachments and removed en bloc. Conclusion: To our knowledge, this is the first video demonstration of a transcervical parapharyngeal lymph node resection in the peer-reviewed literature. Transcervical excision of parapharyngeal and retropharyngeal lymph nodes requires a thorough understanding of the anatomy of the neck and parapharyngeal space, along with a stepwise surgical technique to safely expose the parapharyngeal space. No competing financial interests exist. Runtime of video: 8 mins 44 secs.

虽然淋巴结转移在甲状腺乳头状癌中很常见,但咽旁和咽后淋巴结转移相对罕见。材料和方法:47岁女性,右侧甲状腺叶2厘米常规乳头状甲状腺癌伴中央右外侧颈部转移,以及2.5厘米右侧咽旁淋巴结转移延伸至颅底。经颈切除2.5 cm咽旁淋巴结的手术技术被说明,识别重要的解剖结构。结果:打开右颈部,切除右侧2级淋巴结(未图示)后,显露咽旁间隙。首先,二腹肌和茎突舌骨肌的后腹被分开。接下来,识别和调动舌下神经。然后将颈外动脉分支分开并缩回。交感神经链在颈内动脉后方可见。喉上神经的外支在颈动脉后方可见。在舌下神经、喉上神经、颈动脉和交感神经链轻轻缩回后,咽旁间隙暴露出上述转移淋巴结。转移淋巴结从鼻翼筋膜和颅底附着物中解放出来,整体切除。结论:据我们所知,这是同行评议文献中第一个经宫颈咽旁淋巴结切除术的视频演示。经颈切除咽旁和咽后淋巴结需要彻底了解颈部和咽旁间隙的解剖结构,并采用循序渐进的手术技术安全地暴露咽旁间隙。不存在相互竞争的经济利益。影片时长:8分44秒。
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引用次数: 4
Video-Assisted Thoracoscopic Resection of a Mediastinal Ectopic Parathyroid Adenoma 胸腔镜下纵隔异位甲状旁腺腺瘤切除术
Pub Date : 2019-03-18 DOI: 10.1089/VE.2018.0135
P. D. Hewes, Kelly M. Galey, C. Peyre, S. Hobbs, D. Ruan, J. Moalem
Abstract Introduction: Mediastinal ectopic parathyroid adenomas (MEPAs) are a rare cause of primary hyperparathyroidism, constituting 1%–2% of all parathyroid adenomas.1 Traditional surgical manage...
摘要简介:纵隔异位甲状旁腺腺瘤是原发性甲状旁腺功能亢进的一种罕见原因,占所有甲状旁腺腺瘤的1%-2%。。。
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引用次数: 0
Video-Assisted Thoracoscopic Surgery for Parathyroid Adenoma at the Aortopulmonary Window 主动脉-肺窗电视胸腔镜手术治疗甲状旁腺腺瘤
Pub Date : 2019-03-18 DOI: 10.1089/VE.2018.0137
Moreno LlorentePablo, López de CastroPedro, Argüello MoralesMagaly, Durán ArrochaJohned, Uribe GaleanoCatalina, Francos MartínezJosé Manuel, García-BarrasaArantxa
Abstract Introduction: Ectopic parathyroid adenomas may occur in up to 25% of patients with primary hyperparathyroidism (PHPT), and in most of the cases can be excised by conventional neck explorat...
摘要简介:异位甲状旁腺腺瘤可发生在高达25%的原发性甲状旁腺功能亢进症(PHPT)患者中,并且在大多数情况下可以通过传统的颈部探查术切除。。。
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引用次数: 0
Total Thyroidectomy for Papillary Thyroid Cancer 甲状腺乳头状癌的全甲状腺切除术
Pub Date : 2019-03-18 DOI: 10.1089/VE.2018.0146
A. CroninPatricia, B. ThompsonGeoffrey
Abstract A 59-year-old female presented with a 2.7 cm papillary thyroid carcinoma. A total thyroidectomy and prophylactic central compartment node dissection were performed, as shown in this video....
摘要一位59岁的女性出现了2.7 cm甲状腺乳头状癌。如本视频所示,进行了甲状腺全切除术和预防性中央节室淋巴结清扫术。。。。
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引用次数: 0
Dynamic Risk Stratification: Intraoperative Decision-Making in Treatment of Thyroid Cancer 动态风险分层:甲状腺癌术中决策
Pub Date : 2018-12-01 DOI: 10.1089/ve.2018.0142
Si-yuan Wu, Jonathan Zagzag, S. Fisher, P. Graham, N. Perrier
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引用次数: 0
Risk Stratification in Differentiated Thyroid Cancer: Importance and Clinical Implications of Preoperative Risk Stratification 分化型甲状腺癌的风险分层:术前风险分层的重要性和临床意义
Pub Date : 2018-12-01 DOI: 10.1089/VE.2018.0140
T. Michael
Abstract Introduction: Risk stratification is the cornerstone of nearly all diagnostic and therapeutic management decisions in differentiated thyroid cancer. In this video, I review the current app...
摘要简介:风险分层是分化型甲状腺癌症几乎所有诊断和治疗管理决策的基石。在这个视频中,我回顾了当前的应用程序。。。
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引用次数: 1
Two Approaches to Conservative Neck Dissection: Anterior and Posterior Approaches to Level V 保守性颈部清扫的两种入路:前路和后路入路
Pub Date : 2018-12-01 DOI: 10.1089/ve.2018.0128
Peter S. Vosler, J. Blumberg, Gian-Marco Busato, J. Freeman
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引用次数: 0
期刊
VideoEndocrinology
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