Abstract
Left thyroid lobectomy as completion of total thyroidectomy is the removal of the remaining left thyroid lobe after prior right thyroid lobectomy. Meticulous surgical technique and attention to details are paramount in performing a successful thyroidectomy, especially in case of re-do surgery. The main goal of thyroid surgery is not only to remove the diseased thyroid gland or lobe, but to prevent complications, such as recurrent laryngeal nerve (RLN) injury or hypoparathyroidism due to injury to or incidental removal of parathyroid glands. The complications of thyroidectomy by themselves could be more devastating than the disease that it was intended to cure. Therefore, the procedure of total thyroidectomy or thyroid lobectomy involves first the identification, full exposure and safe dissection of the RLN; the identification and preservation of all parathyroid glands; followed by the indicated removal of the thyroid lobe or gland. This chapter also describes technique of prophylactic central neck lymph nodes dissection (CNLND). CNLND may be therapeutic or prophylactic, unilateral or bilateral. CNLND should consist of removal of the prelaryngeal, pretracheal, and paratracheal lymph nodes (level VI lymph nodes compartment). This chapter describes a left thyroid lobectomy as completion of a total thyroidectomy with prophylactic CNLND in a 27 year-old female who had pathological diagnosis of a 3.6 cm angio-invasive papillary thyroid carcinoma in her right thyroid lobe nodule after her recent right thyroid lobectomy.
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Shifrin, A. (2022). Left Thyroid Lobectomy as Completion of Total Thyroidectomy with Central Neck Lymph Node Dissection on the Left. In: Shifrin, A. (eds) Atlas of Thyroid Surgery . Springer, Cham. https://doi.org/10.1007/978-3-030-93673-0_7
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DOI: https://doi.org/10.1007/978-3-030-93673-0_7
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