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Completion thyroidectomy: is timing important for transcervical and remote access approaches? / Juan Pablo Dueñas Muñoz
Título : Completion thyroidectomy: is timing important for transcervical and remote access approaches? Tipo de documento : documento electrónico Autores : Juan Pablo Dueñas Muñoz, Fecha de publicación : 2020 Títulos uniformes : World Journal of Otorhinolaryngology-Head and Neck Surgery Idioma : Español (spa) Palabras clave : Completion thyroidectomy Total thyroidectomy Complications Nerve monitoring Resumen : Completion thyroidectomy (CT) is employed after lobectomy when histopathological results mandates total removal of the gland as in case of well differentiated thyroid carcinoma (DTC). It is also employed as a second stage thyroid surgery when unfavorable events occur as in recurrent laryngeal nerve injury or when the surgeon finds out the case is beyond his/her expertise in an attempt to protect the contralateral side and allowing time for recovery or for an expert surgeon to help. Mención de responsabilidad : Juan Pablo Dueñas, Carlos Simón Duque, Laura Cristancho, Manuela Méndez Referencia : World J Otorhinolaryngol Head Neck Surg. 2020 Jun 30;6(3):165-170. DOI (Digital Object Identifier) : 10.1016/j.wjorl.2020.02.006 PMID : 33073211 Derechos de uso : CC BY-NC-ND En línea : https://linkinghub.elsevier.com/retrieve/pii/S2095881120300731 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5114 Completion thyroidectomy: is timing important for transcervical and remote access approaches? [documento electrónico] / Juan Pablo Dueñas Muñoz, . - 2020.
Obra : World Journal of Otorhinolaryngology-Head and Neck Surgery
Idioma : Español (spa)
Palabras clave : Completion thyroidectomy Total thyroidectomy Complications Nerve monitoring Resumen : Completion thyroidectomy (CT) is employed after lobectomy when histopathological results mandates total removal of the gland as in case of well differentiated thyroid carcinoma (DTC). It is also employed as a second stage thyroid surgery when unfavorable events occur as in recurrent laryngeal nerve injury or when the surgeon finds out the case is beyond his/her expertise in an attempt to protect the contralateral side and allowing time for recovery or for an expert surgeon to help. Mención de responsabilidad : Juan Pablo Dueñas, Carlos Simón Duque, Laura Cristancho, Manuela Méndez Referencia : World J Otorhinolaryngol Head Neck Surg. 2020 Jun 30;6(3):165-170. DOI (Digital Object Identifier) : 10.1016/j.wjorl.2020.02.006 PMID : 33073211 Derechos de uso : CC BY-NC-ND En línea : https://linkinghub.elsevier.com/retrieve/pii/S2095881120300731 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5114 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001345 AC-2020-049 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2020-049.pdfAdobe Acrobat PDF Phrenic nerve stimulation during neck dissection for advanced thyroid cancer involving level IV: is it worth doing it? / Carlos Simón Duque Fisher ; Juan Pablo Dueñas Muñoz ; Andrés Felipe Londoño Bustamante
Título : Phrenic nerve stimulation during neck dissection for advanced thyroid cancer involving level IV: is it worth doing it? Tipo de documento : documento electrónico Autores : Carlos Simón Duque Fisher, ; Juan Pablo Dueñas Muñoz, ; Andrés Felipe Londoño Bustamante, Fecha de publicación : 2017 Títulos uniformes : Updates in Surgery Idioma : Inglés (eng) Palabras clave : Phrenic nerve nerve monitoring vagus nerve diaphragm muscle paralysis Resumen : During thyroidectomy and neck dissection surgery for advanced or recurrent metastatic thyroid cancer under intraoperative monitoring, we used the available technology to assess the feasibility of such an intervention to monitor those patients with phrenic nerves at risk. A retrospective review of patients operated on from January 2009 to December 2015 by a single surgeon (CSD) was conducted. Patients who had neck and mediastinal dissection, with or without total thyroidectomy, due to advanced or recurrent metastatic disease to the neck were selected. The procedures were done under intraoperative nerve monitoring using nerve monitoring systems (NIM 2.0 or 3.0; Medtronic, Jacksonville, FL, USA). A total of 19 patients were included in the study, with a mean age of 57.6 years ± 16.3 and a male/female ratio of 10:9. Overall, all patients had an intact phrenic nerve at the conclusion of the surgery. One patient had an aggressive tumor that precluded sacrifice of the left recurrent laryngeal nerve and ipsilateral thoracic duct. The procedure was complicated by a temporary impairment of the diaphragm contraction with intraoperative nerve monitoring as well as a chyle fistula. This was due to the manipulation of the tissue surrounding the phrenic nerve. Intraoperative nerve monitoring of the phrenic nerve offers the surgeon a “potential” method of ensuring phrenic nerve integrity in cases of advanced thyroid cancers with gross level IV metastatic disease. Further prospective studies are needed to assess the risks of this intervention and evaluate the method of recording diaphragm contraction movement Mención de responsabilidad : Carlos S Duque, Juan P Dueñas, Marcela Marulanda, Diana Pérez, Andres Londoňo, Soham Roy, Mai Al Khadem Referencia : Updates Surg. 2017 Mar;69(1):83-87. DOI (Digital Object Identifier) : 10.1007/s13304-016-0411-y PMID : 28194664 En línea : https://link.springer.com/article/10.1007%2Fs13304-016-0411-y Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4045 Phrenic nerve stimulation during neck dissection for advanced thyroid cancer involving level IV: is it worth doing it? [documento electrónico] / Carlos Simón Duque Fisher, ; Juan Pablo Dueñas Muñoz, ; Andrés Felipe Londoño Bustamante, . - 2017.
Obra : Updates in Surgery
Idioma : Inglés (eng)
Palabras clave : Phrenic nerve nerve monitoring vagus nerve diaphragm muscle paralysis Resumen : During thyroidectomy and neck dissection surgery for advanced or recurrent metastatic thyroid cancer under intraoperative monitoring, we used the available technology to assess the feasibility of such an intervention to monitor those patients with phrenic nerves at risk. A retrospective review of patients operated on from January 2009 to December 2015 by a single surgeon (CSD) was conducted. Patients who had neck and mediastinal dissection, with or without total thyroidectomy, due to advanced or recurrent metastatic disease to the neck were selected. The procedures were done under intraoperative nerve monitoring using nerve monitoring systems (NIM 2.0 or 3.0; Medtronic, Jacksonville, FL, USA). A total of 19 patients were included in the study, with a mean age of 57.6 years ± 16.3 and a male/female ratio of 10:9. Overall, all patients had an intact phrenic nerve at the conclusion of the surgery. One patient had an aggressive tumor that precluded sacrifice of the left recurrent laryngeal nerve and ipsilateral thoracic duct. The procedure was complicated by a temporary impairment of the diaphragm contraction with intraoperative nerve monitoring as well as a chyle fistula. This was due to the manipulation of the tissue surrounding the phrenic nerve. Intraoperative nerve monitoring of the phrenic nerve offers the surgeon a “potential” method of ensuring phrenic nerve integrity in cases of advanced thyroid cancers with gross level IV metastatic disease. Further prospective studies are needed to assess the risks of this intervention and evaluate the method of recording diaphragm contraction movement Mención de responsabilidad : Carlos S Duque, Juan P Dueñas, Marcela Marulanda, Diana Pérez, Andres Londoňo, Soham Roy, Mai Al Khadem Referencia : Updates Surg. 2017 Mar;69(1):83-87. DOI (Digital Object Identifier) : 10.1007/s13304-016-0411-y PMID : 28194664 En línea : https://link.springer.com/article/10.1007%2Fs13304-016-0411-y Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4045 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000643 AC-2017-032 Archivo digital Producción Científica Artículos científicos Disponible