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The false thyroid capsule: new findings

2013/08/08 by Y-H Tan, G-N Du, Y-G Xiao +9
Medicine · #Lymphatic Disorders and Treatments #Thyroid Disorders and Treatments #Thyroid and Parathyroid Surgery

paper · doi:10.1017/s0022215113001667

crossref issued 2013/08/08 · crossref published 2013/08/08 · crossref published-online 2013/08/08 · openalex publication_date 2013/08/08 · crossref created 2013/08/08 · crossref published-print 2013/09/01 · crossref deposited 2025/04/07 · openalex created_date 2025/10/10 · openalex updated_date 2026/05/21 · crossref indexed 2026/07/30

Abstract

PURPOSE: The false thyroid capsule is an important anatomical structure involved in thyroidectomy, yet it is rarely studied. This study aimed to define the anatomy of the false thyroid capsule, and its clinical significance. METHODS: A prospective study was performed involving 151 patients with goitre who underwent thyroid lobectomy. The anatomy of the false thyroid capsule was carefully documented intra-operatively. RESULTS: The false thyroid capsule enclosed the inferior and middle thyroid veins and the superior thyroid vessels, forming a mesentery-like structure by attaching to the gland. Once the unilateral lobe had been removed, the thyroid mesentery could be seen to have a C-shaped edge. The recurrent laryngeal nerve, inferior thyroid artery and parathyroid glands were located beneath the C-shaped edge of the thyroid mesentery. CONCLUSION: The thyroid mesentery is a distinctive structure that can be used as a guide for surgical dissection.

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