Objective: To evaluate the effectiveness of prevention of recurrent laryngeal nerve injury depending on thyroid gland lesion and extent of surgery.
Material And Methods: There were 2412 thyroid surgeries between 2000 and 2020. Patients were divided into the main group (1689 patients) and the control group (729 patients).
The Aim Of The Study: Is to describe the experience of combined operations and the expediency of choosing such a tactic for surgical treatment of patients with two or more surgical diseases.
Material And Methods: The results of surgical treatment of 299 patients with vascular lesions in combination with other diseases requiring surgical treatment in 2014-2018 were analyzed. All operations were performed in the cardiovascular department of the GBUZ RKB on the basis of the Department of Hospital Surgery of the KBSU named after V.
The analysis of clinical experience of the operative treatment of 600 patients with a thyroid pathology has allowed to develop technics of allocation of a return laryngeal nerve depending on the type of an anatomic structure of a gland. It gave the opportunities for the extrafascial removal of a share of a thyroid gland, the more accurate visualization and preservation of the parathyroid glands, located near the nerve and safe central lymphadenectomy.
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