Cervical lymph node dissection is a specialized surgical procedure that aims to remove cervical lymph nodes, with absolute respect for preserving the vital vessels and nerves of the area.

Objective of the operation

The surgery is performed to remove possible or confirmed lymph node metastases of a thyroid carcinoma, as well as other organs, such as the parotid gland, larynx, and pharynx.

Types of lymph node cleansing

The operation is divided into central and lateral lymph node dissection.

Central lymph node dissection

It involves the removal of cervical lymph nodes located near and below the thyroid gland and trachea. The procedure is performed through the same incision used for thyroidectomy.

Specialized surgical approach. The surgeon must pay attention to:

• The recurrent laryngeal nerve
• The inferior parathyroid glands

Technology & Security:

To safely perform the surgery, the following are used:

• Neurostimulation/Neuromonitoring for nerve protection
• Parathyroid camera to detect the glands and, if necessary, reimplant them, reducing the risk of hypoparathyroidism.

Lateral lymph node dissection

This procedure is particularly common in cases of laryngeal and parotid cancer. In contrast, in thyroid cancer, lateral cervical metastases are rare, with the exception of medullary carcinoma.

Important anatomical structures that need protection:

Critical vessels and nerves are located in the lateral cervical levels: internal & external carotid artery, internal & external jugular vein, vagus, hypoglossal & accessory nerve, sternocleidomastoid muscle.

Surgical specialization:

Good knowledge of anatomy and the surgeon's experience are essential for the safe performance of the operation.

Specialized surgical approach of Mr. Psychogios

Mr. Psychogios is a specialized cervical surgeon, with extensive experience not only in central but also in lateral cervical lymph node dissection, as it is a frequent indication for operations for laryngeal and parotid cancer.

Advanced technology during the procedure:

Uses:

• Optical magnification for increased accuracy
• Neuromonitoring to safely preserve vital nerves, such as the hypoglossal, paraplegic, and vagus nerves
• Parathyroid gland camera in central lymph node dissection