Application of safe surgery technologies in operations on the thyroid-parithoid complex: a clinical case
A. S. Motorykin,
O. S. Popov,
D. S. Titov,
M. O. Pleshkov,
I. V. Tolmachev,
V. I. Stasevsky,
V. D. Udodov,
E. E. Vasilchenko https://doi.org/10.52581/1814-1471/93/05
Abstract
Currently, the trend towards an increase in diseases of the thyroid-parathyroid complex continues. 4 to 7% of the world's population have nodular transformation of the thyroid gland. The importance of surgical methods for treating patients with thyroid and parathyroid gland pathology has also increased. Despite significant progress and the introduction of preoperative diagnostic methods, preoperative preparation, and postoperative monitoring, the number of intra- and postoperative complications remains high, which motivates the development and implementation of new original technical solutions in thyroid and parathyroid gland surgery. The article presents a clinical case of successful surgical treatment of a patient with diffuse-nodular transformation of a large thyroid gland with retrosternal location and compression of the neck and mediastinal organs due to the use of existing new and original technical solutions developed in the clinic.
Keywords
thyroid gland,
parathyroid glands,
recurrent nerve neuromonitoring,
surgical parathyroid gland fixator,
tissue electrical impedance spectroscopy
Supporting agencies: no author has a financial or property interest in any material or method metioned.
About the Authors
A. S. Motorykin
Siberian State Medical University
Russian Federation
Russian Federation
Alexey S. Motorykin, surgeon, head of the General Surgery Clinic
2, Moskovsky trakt st., Tomsk, 634050
O. S. Popov
Siberian State Medical University
Russian Federation
Russian Federation
Oleg S. Popov, Dr. Med. sci., Associate Professor, Professor, the Department of General Surgery
2, Moskovsky trakt st., Tomsk, 634050
D. S. Titov
Siberian State Medical University
Russian Federation
Russian Federation
Dmitriy S. Titov, Cand. Med. Sci., Associate Professor, the Department of General Surgery
2, Moskovsky trakt st., Tomsk, 634050
M. O. Pleshkov
Siberian State Medical University
Russian Federation
Russian Federation
Maxim O. Pleshkov, head of the Medical Software Development Department, the Scientific and Technological Center "Digital Medicine and Cyberphysics"
2, Moskovsky trakt st., Tomsk, 634050
I. V. Tolmachev
Siberian State Medical University
Russian Federation
Russian Federation
Ivan V. Tolmachev, Cand. Med. Sci., head of the Scientific and Technological Center "Digital Medicine and Cyberphysics"
2, Moskovsky trakt st., Tomsk, 634050
V. I. Stasevsky
Siberian State Medical University
Russian Federation
Russian Federation
Victor I. Stasevsky, Junior Researcher, Department of Rapid Prototyping of Medical Products, the Scientific and Technological Center "Digital Medicine and Cyberphysics"
2, Moskovsky trakt st., Tomsk, 634050
V. D. Udodov
Siberian State Medical University
Russian Federation
Russian Federation
Vladimir D. Udodov, Cand. Med. sci., radiologist, head of the Radionuclide Diagnostics Department
2, Moskovsky trakt st., Tomsk, 634050
E. E. Vasilchenko
Siberian State Medical University
Russian Federation
Russian Federation
Eugeniy E. Vasilchenko, Cand. Med. sci., Associate Professor, the Department of General Surgery
2, Moskovsky trakt st., Tomsk, 634050
References
1. Totoeva Z.N. Analysis of complications after various thyroid surgeries. Endoskopicheskaya khirurgiya – Endoscopic Surgery. 2014;20(6):33-37. (In Russ.). doi: 10.17116/endoskop2014633-37
2. Romanchishen A.F., Reshetov I.V., Vabalite K.V. et al. Atlas of thyroid and parathyroid gland surgery. Moscow, GEOTAR-Media Publ., 2021:144 p. (In Russ.).
3. Kalinin A.P., Maistrenko N.A., Vetshev P.S. (Eds). Surgical endocrinology: a manual. St. Petersburg, Piter Publ., 2004:960 p. (Series "Doctor's Companion"). (In Russ.).
4. Романчишен А.Ф. Хирургия щитовидной и паращитовидной желез. СПб.: ИПК «Вести», 2009. 648 с. Romanchishen A.F. Surgery of the thyroid and parathyroid glands. St. Petersburg, IPK “Vesti” Publ., 2009: 648 p. (In Russ.).
5. Sigal Z.M., Surnina O.V., Bryndin V.V., Sigal O.A. The nearest and long-term results of surgical treatment of focal pathology of the thyroid gland. Vestnik Volgogradskogo gosudarstvennogo meditsinskogo universiteta – Journal of Volgograd State Medical University. 2020;1(73):106-110. (In Russ.). doi: 10.19163/1994-9480-2020-1(73)-106-110.
6. Bakr A.A., Hegazy T.O., Balamoun H.A., Lobos S.A. Post-thyroidectomy hypocalcemia and its associated risk factors. Klinicheskaya i eksperimental'naya khirurgiya. Zhurnal imeni akademika B.V. Petrovskogo – Clinical and Experimental Surgery. Petrovsky Journal. 2020;8.4(30):97-103. doi: 10.33029/2308-1198-2020-8-4-97-103
7. Cannizzaro M., Bianco S., Picardo M.C., Provenzano D., Buffone A. How to avoid and to manage post-operative complications in thyroid surgery. Updates in Surgery. 2017;69(2):211-215. doi: 10.1007/s13304-017-0475-3
8. Zakhokhov R.M., Tlupova T.G., Zhurtova I.B., Mukaev A.A., Bakov Z.N., Teuvazhukova D.A. Efficacy of prevention of recurrent laryngeal nerve injury in thyroid surgery. Khirurgiya. Zhurnal im. N.I. Pirogova – Pirogov Russian Journal of Surgery. 2024;7:85-91. (In Russ.) doi: 10.17116/hirurgia202407185
9. Vetshev P.S., Yankin P.L., Zhivotov V.A., Poddubniy E.I., Drozhzhin A.Yu., Prokhorov V.D. Risk factors and prognosis of voice disorders after surgical treatment of thyroid and parathyroid diseases. Khirurgiya. Zhurnal im. N.I. Pirogova – Pirogov Russian Journal of Surgery. 2019;4:5-14. (In Russ.). doi: 10.17116/hirurgia20190415
10. Hillary S.L., Brown B.H., Brown N.J., Balasubramanian S.P. Use of electrical impedance spectroscopy for intraoperative tissue differentiation in thyroid and parathyroid surgery. World J Surg. 2019;44:479-485. doi: 10.1007/s00268-019-05169-7
11. Martinsen O.G., Grimnes S. Bioimpedance and Bioelectricity Basics. 3rd ed. Academic Press, 2014:584 p.
Review
For citations:
Motorykin A.S., Popov O.S., Titov D.S., Pleshkov M.O., Tolmachev I.V., Stasevsky V.I., Udodov V.D., Vasilchenko E.E. Application of safe surgery technologies in operations on the thyroid-parithoid complex: a clinical case. Issues of Reconstructive and Plastic Surgery. 2025;28(2):52-60. (In Russ.) https://doi.org/10.52581/1814-1471/93/05
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