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General Surgery

Open Right Thyroid Lobectomy

Built from Atlas of Thyroid Surgery

What’s inside

10 sections · 44 slides

  1. 01

    Overview

    • Procedure overview

    1 slide

  2. 02

    Introduction

    Origins, indications, and why one lobe is removed

    • Thyroid surgery through time
    • Indications for thyroid lobectomy
    • Safety advantages of lobectomy

    3 slides

  3. 03

    Patient and setup

    Preoperative evaluation, anesthesia, and positioning

    • Case: right thyroid nodule
    • Risks shared before surgery
    • Anesthesia setup
    • Positioning on the table

    4 slides

  4. 04

    Incision and exposure

    Marking, incision, flaps, and opening the midline

    • Planning the incision
    • Incision marked in a natural skin crease
    • Raising the subplatysmal flaps
    • Raising the subplatysmal flaps
    • Separating the strap muscles
    • Separating the sternohyoid muscles at the midline

    6 slides

  5. 05

    Lateral dissection

    Freeing the right lobe and exposing the carotid sheath

    • Mobilizing the right lobe
    • Structures beside the thyroid
    • Exposing the common carotid artery
    • Vagus nerve signal
    • Middle thyroid vein

    5 slides

  6. 06

    Superior pole

    Freeing the upper pole while protecting the superior laryngeal nerve

    • Freeing the superior pole
    • Ligating the superior pole
    • Ligating the superior pole vessels

    3 slides

  7. 07

    Nerve and parathyroids

    Finding the recurrent laryngeal nerve and protecting the parathyroids

    • Recurrent laryngeal nerve
    • Identifying the recurrent laryngeal nerve
    • Cautery discipline
    • Preserving the parathyroids
    • Preserving the parathyroid glands
    • At the ligament of Berry
    • Dividing the ligament of Berry
    • Parathyroid autotransplantation

    8 slides

  8. 08

    Removal and closure

    Freeing the lobe from the trachea, removing it, and closing

    • Separating the lobe from the trachea
    • Exposing the trachea after freeing the lobe
    • Removing the lobe
    • Oversewing the cut thyroid edge
    • Hemostasis and nerve re-check
    • Reapproximating the strap muscles
    • Reapproximating the sternohyoid muscles
    • Closing the skin

    8 slides

  9. 09

    Postoperative care

    Recovery, discharge, and follow-up

    • After surgery
    • Follow-up and results

    2 slides

  10. 10

    Summary

    The operation and its key numbers in one view

    • 4-6 cm
    • Summary of the operation
    • References
    • Atlas of Thyroid Surgery

    4 slides