Alexander Shifrin Editor Atlas of Thyroid Surgery 123 Atlas of Thyroid Surgery Alexander Shifrin Editor Atlas of Thyroid Surgery Editor Alexander Shifrin Atlantic Health Oncology Service and Department of Surgery CentraState Health System Atlantic Health Partner Freehold, NJ, USA ISBN 978-3-030-93672-3 ISBN 978-3-030-93673-0 (eBook) https://doi.org/10.1007/978-3-030-93673-0 © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. 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This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland In memory of my father, Leonid Shifrin, the inventor of thromboelastographs, and my uncle, pediatric surgeon, Vadim Shifrin. To my mother, Margarita Shifrina, for her love and endless support. To my beloved children, Michael, Daniel, Benjamin, Julia, Christian, and Liam, who continue to provide perspective on what is truly important in life. To the love of my life, Svetlana L. Krasnova, for her love, patience, and encouragement. Preface No volume which deals with the treatment of the thyroid gland would be complete without a statement regarding our obligation to Theodor Kocher…. because of his skill as a surgeon and his sound reasoning as a scientific physician as to the nature, diagnosis, and treatment of every form of goiter, to Theodore Kocher, as to no other man, is due the credit for writing the chapter on goiter in the history of medicine. George Crile The aim of the atlas is to illustrate different techniques of successful thyroid surgery. Each author, an expert in the field of thyroid surgery, presented their own specific way on how to perform a successful thyroid surgery. The atlas illustrates thyroid lobectomy, total thyroidec- tomy, thyroidectomy for substernal goiter, thyroidectomy with central neck lymph nodes dis- section and lateral neck dissection, video-assisted thyroidectomy, endoscopic total thyroidectomy via bilateral axillo-breast approach (BABA), and transoral endoscopic total thyroidectomy via vestibular approach (TOETVA). A separate chapter is dedicated to describ- ing a safe thyroidectomy in developing countries. Each chapter presents a case description that defines the main aspect of surgery. Each picture, which is taken intraoperatively, is accompa- nied by corresponding drawings for an easier understanding of the anatomical structures and steps of the procedure. In addition, most of the authors provided a video of the same case as it is depicted in the chapter, which is annotated and can be accessed online via SpringerLink (link.springer.com). The atlas includes common pitfalls of the procedure in an effort to avoid complications and improve patient outcomes. I hope this atlas will provide an indispensable source of knowledge to all surgeons, those who just started their career, and those who are in more advanced stages of their practice and are learning new techniques of thyroidectomy. To carry out successfully the technique [of thyroidectomy]…it is clear that the operation cannot be performed by the surgeon alone, but by a team, of which the surgeon is the captain. George Crile Freehold, NJ, USA Alexander Shifrin vii Acknowledgments The creation of this atlas, covering the entire scope of thyroid surgery, was dependent on team effort, which was possible only with the support and enthusiasm of the many individuals who contributed to this book, Sanziana A. Roman, Julie Ann Sosa, Travis McKenzie, Janice Pasieka, Sarah E. Carty, Benzon M. Dy, Melanie L. Lyden, Miguel Francisco Herrera Hernández, Richard A. Hodin, Mark Sywak, Andreas Machens, Henning Dralle, Marco Raffaelli, Carmela De Crea, Rocco Bellantone, Joon-Hyop Lee, Sihoon Lee, Young Jun Chai, Gustavo Fernández- Ranvier, Schelto Kruijff, Marco S. Demarchi, Frédéric Triponez, and Hyunsuk Suh, my col- leagues who trusted me and dedicated their time and effort to make it happen, without whom this atlas would have never come to life! To my surgical team, Tara Corrigan, George Kunak, and Pedro Garcia. I am very thankful to my teachers, who dedicated their lives and efforts to the science of surgery. Those who made me into a surgeon and inspired me to produce this atlas: William Inabnet, MD, John Chabot, MD, Ali Bairov, MD, Steven Raper, MD, and Jerome Vernick, MD. Special thanks to the artists who worked on this atlas at Springer. To Executive Editor Richard Hruska, who believed in me, and Senior Editor Lee Klein of Springer for his hard work and dedication. Finally, I would like to thank the entire staff at Springer, who were very supportive from the first idea of this atlas and maintained their enthusiasm until the end. ix Contents 1 Right Thyroid Lobectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Alexander Shifrin 2 Open Right Thyroid Lobectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Jina Kim, Sanziana A. Roman, and Julie Ann Sosa 3 Thyroid Lobectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Trenton Foster and Travis McKenzie 4 Left Thyroid Lobectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Caitlin T. Yeo, Adrian Harvey, and Janice L. Pasieka 5 Total Thyroidectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 Ujas S. Shah, Kristina J. Nicholson, and Sally E. Carty 6 Total Thyroidectomy for Substernal Goiter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 Benzon M. Dy and Melanie L. Lyden 7 Left Thyroid Lobectomy as Completion of Total Thyroidectomy with Central Neck Lymph Node Dissection on the Left . . . . . . . . . . . . . . . . . . . . . 75 Alexander Shifrin 8 Total Thyroidectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97 Rafael Humberto Pérez-Soto, Alicia Maybí Trolle-Silva, and Miguel F. Herrera 9 Left Thyroid Lobectomy and Isthmusectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . .109 Rajshri M. Gartland and Richard A. Hodin 10 Total Thyroidectomy and Ipsilateral Central Lymph Node Dissection for the Management of Papillary Thyroid Carcinoma . . . . . . . . . . . . . . . . . . . . . .117 Adam Ofri and Mark Sywak 11 Hemithyroidectomy with en bloc Ipsilateral Central Node Dissection for Low-Risk Papillary and Medullary Thyroid Cancer. . . . . . . . . . . . . . . . . . . . .129 Frank Weber, Andreas Machens, and Henning Dralle 12 Video-Assisted Thyroidectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .143 Marco Raffaelli, Carmela De Crea, Francesco Pennestrì, Celestino Pio Lombardi, and Rocco Bellantone 13 Robotic Total Thyroidectomy via Bilateral Axillo-Breast Approach (BABA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .163 Hyunsuk Suh 14 Transoral Endoscopic Total Thyroidectomy via Vestibular Approach (TOETVA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .173 Joon-Hyop Lee, Sihoon Lee, and Young Jun Chai xi xii Contents 15 Transoral Endoscopic Thyroidectomy via Vestibular Approach (TOETVA) . . . .181 Gustavo Fernández-Ranvier, Ghayth Al Awwa, and Daniela Guevara 16 Safe Thyroidectomy in Low- and Middle-Income Countries . . . . . . . . . . . . . . . . .191 Schelto Kruijff, Marianne Roberta Frederiek Bosscher, and Pim Johan Bongers 17 Total Thyroidectomy with Comprehensive Central and Lateral Neck Dissection for Differentiated Thyroid Carcinoma . . . . . . . . . . . . . . . . . . . . . . . . . .199 Marco Raffaelli, Carmela De Crea, Luca Sessa, and Rocco Bellantone 18 Thyroidectomy for Substernal Goiter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .219 Marco S. Demarchi and Frédéric Triponez Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .233 Contributors Ghayth Al Awwa, MD Department of Surgery/Division of Metabolic, Endocrine, and Minimally Invasive Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA Rocco Bellantone, MD Center of Endocrine and Obesity Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy Pim Johan Bongers, MD, PhD Department of Surgical Oncology, University Medical Center Groningen, Groningen, The Netherlands Marianne Roberta Frederiek Bosscher, MD, PhD Department of Surgical Oncology, University Medical Center Groningen, Groningen, The Netherlands Sally E. Carty, MD, FACS Division of Endocrine Surgery, Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Young Jun Chai, MD, PhD Department of Surgery, Seoul Metropolitan Government-Seoul National University, Boramae Medical Center, Seoul, Republic of Korea Carmela De Crea, MD Division of Endocrine and Metabolic Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy Marco S. Demarchi, MD Department of Thoracic and Endocrine Surgery, Geneva University Hospitals and University of Geneva, Geneva, Switzerland Henning Dralle, MD Department of General, Visceral and Transplantation Surgery, Section of Endocrine Surgery, University of Duisburg-Essen, Essen, Germany Benzon M. Dy, MD Division of Endocrine and Metabolic Surgery, Mayo Clinic, Rochester, MN, USA Gustavo Fernández-Ranvier, MD, PhD Garlock Division of Surgery, Mount Sinai Hospital, New York, NY, USA Trenton Foster, MD Department of Surgery, Mayo Clinic, Rochester, MN, USA Rajshri M. Gartland, MD, MPH Department of Surgery, Massachusetts General Hospital, Boston, MA, USA Daniela Guevara, MD The Garlock Division of General Surgery, Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA Adrian Harvey, MD Section of General Surgery and Surgical Oncology, Department of Surgery, Faculty of Medicine, Foothills Medical Center, University of Calgary, Calgary, AB, Canada Miguel F. Herrera, MD, PhD Department of Surgery, Division of Endocrine and Advanced Laparoscopic Surgery, Instituto Nacional de Ciencias Médicas y Nutrición, Salvador Zubirán, Tlalpan, Mexico City, Mexico xiii