UDK: 616.411-089-06:616.441-006.6-07.089
N.V. Kovalenko1,2, D.V. Fainshtein2, V.V. Ponomaryev2, A.Yu. Nenarokomov1, A.I. Ivanov1, V.V. Zhavoronkova2, S.Ye. Tolstopyatov1, D.V. Moiseev2, D.D. Dzhafarov1
1ФГБОУ ВО «Волгоградский государственный медицинский университет» Министерства здравоохранения Российской Федерации; 2Волгоградский областной клинический онкологический диспансер
The incidence of thyroid cancer in the period from 2008 to 2018 in the Russian Federation increased from 74,8 to 114,1 cases per 100,000 population. The risk of damage to the recurrent laryngeal nerve during primary operations ranges from 0,5 to 23 %, with repeated operations increases to 62 %. The Volgograd regional clinical oncological dispensary uses the technique of intraoperative restoration of the function of the recurrent laryngeal nerve by means of a micro-neural anastomosis with the main trunk of the vagus nerve. We have experience in performing 6 similar operations. The description of this technique is given on the example of a clinical case. The described technique allows you to completely restore the voice and mobility of the vocal folds of the larynx. Respiratory function is fully restored, which makes it possible to avoid the formation of a tracheostomy in case of bilateral nerve damage, and if even unilateral paresis led to decompensated respiratory failure.
thyroid cancer, thyroidectomy, recurrent nerve injury, microneural anastomosis.
Ненарокомов Александр Юрьевич – к. м. н., доцент кафедры онкологии, Волгоградский государственный медицинский университет, e-mail: poisson1967@yandex.ru