This video demonstrate Lymph Node Resection and Thyroidectomy Axilla and Breast Approach - Lecture by Dr R K Mishra. Only 16% of axilloscopy patients reported pain on the first postoperative day compared to 38% of open surgery patients. The incidence of seroma following endoscopic axillary retrieval was 6%, wound infection in 5% of patients. Conclusion: The axilloscopic approach with liposuction to axillary region presents a safe.

Axillary lymph node resection and thyroidectomy are two different surgical procedures that may be performed for different medical conditions.

Axillary lymph node resection, also known as axillary lymph node dissection, is a surgical procedure used to remove lymph nodes from the armpit region (axilla). This procedure is commonly performed for patients with breast cancer to determine the extent of the disease and to help guide treatment decisions. During the procedure, the surgeon makes an incision in the axilla and removes a group of lymph nodes. The lymph nodes are then sent to a laboratory for analysis to determine if cancer cells are present.

Thyroidectomy, on the other hand, is a surgical procedure used to remove all or part of the thyroid gland. This procedure is commonly performed for patients with thyroid cancer or other thyroid conditions, such as a thyroid nodule that is causing symptoms or an enlarged thyroid that is pressing on the windpipe. During the procedure, the surgeon makes an incision in the neck and removes the thyroid gland.

Although these are two different procedures, they may be combined in some cases. For example, if a patient with thyroid cancer has cancerous lymph nodes in the axilla, the surgeon may perform a thyroidectomy and axillary lymph node resection at the same time. This can help to ensure that all cancerous tissue is removed in a single surgery.

As with any surgical procedure, there are potential risks and complications associated with axillary lymph node resection and thyroidectomy. Patients should discuss these risks with their healthcare provider and ask any questions they may have about the procedures.

Axillary Lymph Node Resection and Thyroidectomy: A Comprehensive Overview
Axillary lymph node resection and thyroidectomy are two distinct but often related surgical procedures in the treatment of various cancers, particularly breast cancer and thyroid cancer. Both surgeries aim to remove potentially cancerous tissues to prevent the spread of malignancy and improve patient outcomes. While they are typically performed for different types of cancers, they can intersect in cases where metastasis occurs, such as in thyroid cancer with axillary lymph node involvement. This article provides a comprehensive overview of both procedures, their indications, the surgical techniques involved, and recovery processes.
 
Axillary Lymph Node Resection:
Axillary lymph node resection, also known as axillary lymph node dissection (ALND), is primarily performed in patients diagnosed with breast cancer. The axillary lymph nodes, located under the arm, serve as key structures in the body’s lymphatic system, which helps in immune responses and fluid drainage. When cancer cells spread from the breast to these nodes, it can lead to further dissemination of cancer throughout the body.
 
Indications:
- Breast Cancer: The most common indication for axillary lymph node resection is breast cancer, especially when there is suspicion or confirmation of lymph node involvement.
- Other Cancers: Occasionally, ALND may be required for other cancers like melanoma or lymphoma, especially if there is metastatic spread to the axillary region.
 
Surgical Procedure:
The surgical process typically involves the following steps:
1. Anesthesia: General anesthesia is administered to ensure the patient is unconscious and pain-free during the surgery.
2. Incision: A small incision is made in the armpit area to access the lymph nodes.
3. Node Removal: The surgeon carefully removes a portion or all of the affected axillary lymph nodes. The extent of removal depends on the number of involved nodes.
4. Sentinel Lymph Node Biopsy (SLNB): In some cases, only the sentinel lymph node, the first node likely to contain cancer cells, is removed for biopsy.
 
Recovery and Risks:
- Recovery: Patients usually remain in the hospital for a short period and can return to normal activities within several weeks, though this varies based on the extent of surgery.
- Risks: Possible complications include infection, lymphedema (swelling due to fluid buildup), numbness, and nerve injury.
 
Thyroidectomy:
Thyroidectomy is the surgical removal of all or part of the thyroid gland. The thyroid, a butterfly-shaped gland located in the neck, is responsible for producing hormones that regulate metabolism, heart rate, and body temperature. Thyroidectomy is most commonly performed for conditions such as thyroid cancer, hyperthyroidism, and benign thyroid nodules.
 
Indications:
- Thyroid Cancer: The most common indication for thyroidectomy is the presence of malignant thyroid tumors.
- Hyperthyroidism: When caused by conditions like Graves' disease, surgery may be considered if medications are ineffective.
- Benign Conditions: In cases of large benign thyroid goiters or nodules that cause difficulty breathing or swallowing, thyroidectomy may be required.
 
Surgical Procedure:
1. Anesthesia: General anesthesia is administered to the patient.
2. Incision: A small horizontal incision is made at the base of the neck to expose the thyroid gland.
3. Thyroid Removal: The surgeon removes all or part of the thyroid. In total thyroidectomy, the entire gland is removed, while in partial thyroidectomy, only the affected lobe is excised.
4. Lymph Node Dissection: In cases of thyroid cancer with lymph node involvement, lymph nodes in the neck may also be removed.
 
Recovery and Risks:
- Recovery: Most patients can return to normal activities within 2 to 4 weeks. Lifelong thyroid hormone replacement may be necessary if the entire thyroid is removed.
- Risks: Common risks include bleeding, infection, damage to nearby structures such as the parathyroid glands or recurrent laryngeal nerve (affecting voice), and the need for hormone replacement therapy.
 
When Both Procedures are Performed Together:
In some cases, both axillary lymph node resection and thyroidectomy may be performed together, especially if the thyroid cancer has spread to nearby lymph nodes, including those in the axillary region. This scenario requires a multidisciplinary approach to ensure proper staging and treatment.
 
Conclusion:
Axillary lymph node resection and thyroidectomy are critical surgeries in the management of cancers, particularly breast and thyroid cancer. While they serve different purposes, they can sometimes intersect in cases of metastatic spread. These surgeries, while effective in removing malignant tissue and preventing further spread of cancer, come with risks and a recovery period. Patients should work closely with their healthcare team to fully understand the benefits, risks, and recovery expectations for each procedure. With advances in surgical techniques, the prognosis for patients undergoing these procedures continues to improve, leading to better outcomes and enhanced quality of life.