Tag Archives: Yale

PREPRINT RELEASE: Bilateral Modified Radical Neck Dissection

Bilateral Modified Radical Neck Dissection
Smilow Cancer Hospital at Yale New Haven

Tobias Carling, MD, PhD, FACS
Associate Professor of Surgery
Yale School of Medicine

In 2014, a now 61-year-old male had a total thyroidectomy and central neck dissection for bilateral papillary thyroid cancer with extrathyroidal extension. Now, after presenting with recurrent metastatic papillary thyroid cancer, Dr. Tobias Carling performs a bilateral modified radical neck dissection.

PREPRINT RELEASE: Right Posterior Retroperitoneoscopic Adrenalectomy

Right Posterior Retroperitoneoscopic Adrenalectomy
Smilow Cancer Hospital at Yale New Haven

Tobias Carling, MD, PhD, FACS
Associate Professor of Surgery
Yale School of Medicine

One of the early adaptors of the approach, Tobias Carling, MD, PhD, FACS, performs a right posterior retroperitoneoscopic adrenalectomy on a patient that presented with subclinical Cushing's syndrome. Specifically, she had elevated urinary cortisol, failed a dexamethasone suppression test, and had a growing adrenal tumor as revealed by serial imaging. Due to the patient’s anatomy, Dr. Carling used a lateral approach to ligating the right adrenal vein; this video includes his usual medial approach as an additional module.

PREPRINT RELEASE: Minimally Invasive Parathyroidectomy under Local Cervical Block

Minimally Invasive Parathyroidectomy under Local Cervical Block
Yale School of Medicine
Tobias Carling, MD, PhD, FACS
Associate Professor of Surgery

A 60-year-old female’s biochemical workup concluded she had primary hyperparathyroidism, and preoperative images suggested a left lower parathyroid lesion. Consequently, Dr. Tobias Carling performed a minimally invasive parathyroidectomy under local cervical anesthesia while preserving the esophagus and recurrent laryngeal nerve. Intraoperative PTH proved complete resection.