Thyroid Surgery — Nerve Injury and Intraoperative Decision-Making
hard
scissors Surgery
A 38-year-old woman undergoes total thyroidectomy for papillary thyroid carcinoma. Intraoperatively, the surgeon identifies the recurrent laryngeal nerve (RLN) but notes it is intimately adherent to the thyroid capsule with no clear plane of dissection. Which intraoperative decision best balances oncologic control with nerve preservation?
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