PDF(Pubmed)
Abstract：
We present a case report describing an unexpected anomaly encountered during a total thyroidectomy for a patient with papillary carcinoma of the left lobe of the thyroid with retrosternal extension. Intraoperatively, we discovered that the left lobe of the thyroid gland had extended posteriorly, invading the carotid space and displacing the carotid sheath anteriorly. The vagus nerve was identified as a cord-like structure abutting the anterior surface of the tumor, in close relation to the strap muscles. This case highlights the importance of careful dissection and identification of anatomical structures during thyroidectomy procedures to avoid inadvertent nerve injury. We discuss the significance of meticulous dissection-wide exposure and advocate for greater awareness and vigilance among surgeons.
摘要：
我们提供了一个病例报告，描述了甲状腺左叶乳头状癌伴胸骨后延伸的患者在甲状腺全切除术中遇到的意外异常。术中,我们发现甲状腺的左叶向后延伸，侵入颈动脉空间并向前移位颈动脉鞘。迷走神经被确定为邻接肿瘤前表面的索状结构，与绑带肌肉密切相关。此病例强调了在甲状腺切除术过程中仔细解剖和识别解剖结构以避免意外神经损伤的重要性。我们讨论了细致解剖范围暴露的重要性，并倡导外科医生提高意识和警惕性。
