Two useful adjuncts to thyroid oncological surgery: the ansa to recurrent nerve anastomosis and mediastinoscopy approach to metastatic disease

      Extrathyroidal spread with invasion of the recurrent laryngeal nerve and metastatic disease to the mediastinum are two manifestations of aggressive papillary thyroid cancer.  These videos outline useful surgical adjuncts for the management of recurrent laryngeal nerve sacrifice from invasive disease by anastomosing the ipsilateral ansa cervicalis to the recurrent laryngeal nerve stump and use of mediastinoscopy to remove pathologic mediastinal lymphadenopathy without the need for sternotomy.


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