Abstract:
Objective
To investigate the function of the ligament of Berry, the suspended ligament in fixed thyroid and the results of the new surgical approach to remove the fixed throid gland.
Methods
The new surgical approach in middle route had been performed at the 326 patients in thyroid surgery.The pretrachealis fascia,the ligament of Berry and the suspended ligament had been cut off to dismiss thyroid.
Results
98.5%of fixed thyroid gland were loosed.Mean operating time was 75(45-130)minites.The operation bleeding was 23(5-126)ml.The recurrent laryngeal nerve paralysis occurred in two patients with thyroid adenoma and three patients with thyroid adenocarcinoma who recovered 1,3,6 months later.The mean length of stay was 4.5 (3-6)days.
Conclusions
Thepurposeofthesurgicalapproach in middlerouteistoloosethepretrachealisfascia,theligamentofBerryfirst,with other operation steps such as blood vessel dissection following on.The new approach is easier than the conventional method with less complication.
Key words:
Thyroidgland,
Laminapraetrachealis,
TheligamentofBerry,
Suspensorium,
Recurrentlaryngeal nerve,
Surgicalapproach
Zhi-ping TANG, Zhi-hong LIANG, Xiang-wen ZHAO, Zhi-cheng LIANG, Jian-an CHEN, Ji-wei DING, Shuqiang LIU, Wei HUA. Recognition of the ligament of thyroid and study of a new surgical approach to thyroid gland[J]. Chinese Archives of General Surgery(Electronic Edition), 2009, 03(02): 36-38.