Freschi G, Masi C, Pichi Graziani M, Pacifico G, Panconesi R, Corsi A, Seghi P
Patologia Chirurgica 1, Università degli Studi di Firenze.
Minerva Chir. 1994 Oct;49(10):943-7.
The majority of surgeons view the preliminary identification of the recurrent laryngeal nerve (RLN) as an essential stage in thyroidectomy in order to preserve thyroid integrity. This conviction is based on the fact that the anatomical relations of the recurrent nerve during the cervical tract with adjacent structures are highly variable. The preparation of the RLN in a series of 42 thyroidectomies performed by the 1st Department of Pathological Surgery of the University of Florence confirmed this variability above all with regard to relations with the trachea, Berry's ligament and the branches of the lower thyroid artery. As a result, it is justified to consider the identification and preliminary preparation of the RLN on both sides as a fundamental and unavoidable stage in thyroidectomy.
大多数外科医生认为，为了保持甲状腺的完整性，在甲状腺切除术中初步识别喉返神经（RLN）是一个关键步骤。这种观点基于这样一个事实，即喉返神经在颈部行程中与相邻结构的解剖关系高度可变。佛罗伦萨大学病理外科学第一科室进行的42例甲状腺切除术系列中对喉返神经的显露，首先证实了其与气管、Berry韧带和甲状腺下动脉分支关系方面的这种变异性。因此，将双侧喉返神经的识别和初步显露视为甲状腺切除术中一个基本且不可避免的步骤是合理的。
