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Related Experiment Video

Updated: Jun 24, 2026

"Sun's Seven-Step Technique" for Endoscopic En-Bloc Resection of Thyroid Cancer via the Chest-Breast Approach
07:45

"Sun's Seven-Step Technique" for Endoscopic En-Bloc Resection of Thyroid Cancer via the Chest-Breast Approach

Published on: November 28, 2025

[Repeat of lymphatic dissection for thyroid cancers].

H Mirghani1, A Francois, G Landry

  • 1Service d'ORL et de chirurgie cervicofaciale, hôpital Européen-Georges-Pompidou, AP-HP, 20, rue Leblanc, 75015 Paris, France. Mirghani_fr@yahoo.fr

Annales D'Oto-Laryngologie Et De Chirurgie Cervico Faciale : Bulletin De La Societe D'Oto-Laryngologie Des Hopitaux De Paris
|March 31, 2009
PubMed
Summary

Reoperative central compartment dissection for thyroid cancer recurrence has low morbidity. Permanent recurrent laryngeal nerve paralysis occurred in 5.2% and permanent hypoparathyroidism in 9% of patients when the nerve was not invaded.

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Area of Science:

  • Endocrinology
  • Head and Neck Surgery
  • Oncology

Context:

  • Reoperation for recurrent thyroid carcinoma presents unique surgical challenges.
  • Central neck lymph node dissection (level VI) is crucial for staging and treatment of recurrent disease.
  • Previous surgery can alter anatomy, increasing risks.

Purpose:

  • To evaluate the incidence of permanent recurrent laryngeal nerve paralysis and hypoparathyroidism following reoperative central compartment dissection (level VI).
  • To assess the safety and morbidity associated with re-dissection of the central neck compartment in patients with recurrent thyroid cancer.

Summary:

  • A retrospective study analyzed 18 patients undergoing 22 reoperative central compartment dissections for recurrent thyroid carcinoma or metastatic lymph nodes.

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Last Updated: Jun 24, 2026

"Sun's Seven-Step Technique" for Endoscopic En-Bloc Resection of Thyroid Cancer via the Chest-Breast Approach
07:45

"Sun's Seven-Step Technique" for Endoscopic En-Bloc Resection of Thyroid Cancer via the Chest-Breast Approach

Published on: November 28, 2025

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
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Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Published on: May 12, 2023

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
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Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

  • Permanent hypoparathyroidism occurred in 2 patients (9%) and permanent recurrent laryngeal nerve paralysis in 4 patients (5.2%).
  • Nerve paralysis was intentional in 3 cases for oncologic reasons; the fourth occurred during a complex second reoperation.

    • Impact:

    • Central neck reoperation can be performed with acceptable morbidity, particularly when the recurrent laryngeal nerve is preserved.
    • Highlights the importance of careful identification and preservation of the inferior laryngeal nerve during reoperative central compartment dissection.
    • Provides data to inform surgical decision-making and patient counseling regarding risks of re-operation for recurrent thyroid cancer.