Left Lateral Neck Dissection for Metastatic Papillary Thyroid Carcinoma
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- Title
- 1. Introduction
- 2. Surgical Approach and Preparation
- 3. Incision and Division of the Platysma
- 4. Subplatysmal Flaps
- 5. Access to the Lateral Neck Between the Medial Edge of Sternocleidomastoid (SCM) and the Lateral Edge of Sternohyoid
- 6. Omohyoid Dissection and Division
- 7. Internal Jugular Vein Dissection and Preservation
- 8. Superior Extent of Dissection in Levels IIB and III
- 9. Lateral Extent of Dissection Under SCM
- 10. Deep Extent of Dissection to Deep Cervical Fascia
- 11. Dissection into Level IV Watching for Positive Metastatic Lymph Node and Thoracic Duct
- 12. Inferior Extent of Dissection in Level IV at Clavicle with Preservation of Thoracic Duct
- 13. Lateral Dissection at Junction Between Levels IV and V
- 14. Last Remaining Attachments at Deep and Lateral Margins to Remove Specimen
- 15. Specimen Orientation
- 16. Review of Anatomy
- 17. Irrigation, Hemostasis with Tisseel and Surgicel, and Final Check of Vagus and Phrenic Nerves
- 18. Closure
- 19. Post-op Remarks
English
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Authors
Filmed At:
Massachusetts General Hospital
Article Information
| Publication Date | ||
|---|---|---|
| Article ID | 466 | |
| Production ID | 0466 | |
| Volume | 2026 | |
| Issue | 466 | |
| DOI | ||
| https://doi.org/10.24296/jomi/466 | ||