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Updated: Jan 5, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
["Achilles' heel" in thyroid surgery]
P S Vetshev1, О Y Karpova1, M B Saliba1
1I.M.Sechenov Moscow Medical Academy.
Insights
Every surgical procedure carries inherent risks. This summary highlights common surgical complications, such as bile duct injury during gallstone removal and recurrent laryngeal nerve damage during thyroid surgery.
Area of Science:
- Surgical Science
- Surgical Risk Assessment
- Anatomical Hazards
Context:
- Surgical procedures, while life-saving, possess unique vulnerabilities.
- Identifying critical anatomical structures is paramount in surgical planning.
Purpose:
- To delineate the specific 'Achilles heel' for common surgical interventions.
- To raise awareness of potential iatrogenic injuries in various surgical fields.
Summary:
- Cholelithiasis surgery risks bile duct damage.
- Varicose vein surgery risks femoral vein injury.
- Colorectal surgery risks ureter damage.
- Cardiac surgery risks ascending aorta damage.
- Thyroid surgery risks recurrent laryngeal nerve damage.
Impact:
- Enhances surgical safety through targeted risk awareness.
- Informs surgical training and procedural development.
- Contributes to reducing patient morbidity and mortality.
Abstract:
Experienced multivalent surgeons are well aware that any operation has its own Achilles heel. In surgery for cholelithiasis, this is a risk of damage to the bile duct, in surgery for varicose veins - the femoral vein, in surgery for the colon and rectum - the ureter, in cardiac surgery - the ascending aorta, and in surgery for the thyroid gland - the recurrent laryngeal nerve.

