Reoperative thyroid surgery: can endoscopic areola approach be used?

2016 ◽  
Vol 31 (3) ◽  
pp. 1296-1304 ◽  
Author(s):  
Bingsheng Guan ◽  
Jinyi Li ◽  
Wah Yang ◽  
Jingge Yang ◽  
Guo Cao ◽  
...  
Keyword(s):  
Thyroid Surgery ◽  
Areola Approach ◽  
Reoperative Thyroid Surgery

scholarly journals Comparing quality of life between patients undergoing trans-areola endoscopic thyroid surgery and trans-oral endoscopic thyroid surgery

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shuang Shen ◽  
Xiaochi Hu ◽  
Rui Qu ◽  
Youming Guo ◽  
Libo Luo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Thyroid Surgery ◽  
Short Form ◽  
Endoscopic Thyroidectomy ◽  
Operation Time ◽  
Endoscopic Thyroid Surgery ◽  
Sf 36 ◽  
Areola Approach ◽  
High Level

Abstract Background Compared with conventional open surgery, endoscopic thyroidectomy via the oral vestibular approach (ETVOA) and endoscopic thyroidectomy via the areola approach (ETAA) avoided scarring of the skin, which may help patients achieve a better quality of life (QOL). However, the benefit of the QOL from this technique has not been adequately investigated, therefore this study compared the QOL outcomes between ETVOA and ETAA. Methods 131 patients were enrolled in this study. ETAA surgery and ETVOA surgery were performed in 74 patients and 57 patients, respectively. These patients were followed up at 2 weeks, 4 weeks, and 8 weeks, and their QOL was evaluated using a thyroid surgery-specific questionnaire and a short-form health survey (SF-36). Results There were no differences in clinical characteristics such as gender, age, body mass index (BMI), and tumor size between the two groups. The volume of intraoperative blood loss, cost of hospitalization, and complications between the two procedures showed no differences. Compared with ETAA, ETVOA has a longer operation time, no drainage, and shorter hospital stay. In the QOL questionnaire, several parameters in ETVOA were better. The satisfaction scores of patients undergoing ETVOA were higher. In addition, the cosmetic satisfaction in patients who received ETOVA was significantly better than that of patients who underwent ETAA. The degree of neck movement disorder in patients with ETVOA was milder. Patients who received ETVOA had higher score on the SF-36. Conclusions The trans-oral endoscopic approach can acquire better cosmetic results and achieved high-level QOL.

scholarly journals Intraoperative Frozen Section May Reduce the Need for Reoperative Thyroid Surgery in Patients with Follicular Neoplasm

2016 ◽  
Vol 6 (1) ◽  
pp. 1-5
Author(s):  
Dena Arumugam ◽  
Carlos A. Macias ◽  
Renee L. Arlow ◽  
Sumana Narayanan ◽  
Shou-En Lu ◽  
...  
Keyword(s):  
Thyroid Surgery ◽  
Frozen Section ◽  
Follicular Neoplasm ◽  
Intraoperative Frozen Section ◽  
Reoperative Thyroid Surgery

Reoperative Thyroid Surgery

1997 ◽  
Vol 21 (6) ◽  
pp. 644-647 ◽  
Author(s):  
Tzu-Chieh Chao ◽  
Long-Bin Jeng ◽  
Jen-Der Lin ◽  
Miin-Fu Chen
Keyword(s):  
Thyroid Surgery ◽  
Reoperative Thyroid Surgery

scholarly journals Ipsilateral nonrecurrent laryngeal nerve palsy and delayed palsy of the contralateral recurrent laryngeal nerve in a case of third-time reoperative thyroid surgery

2019 ◽  
Vol 101 (2) ◽  
pp. e55-e58
Author(s):  
S Wijerathne ◽  
X Goh ◽  
R Parameswaran
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Thyroid Surgery ◽  
Nerve Palsy ◽  
Late Onset ◽  
Contralateral Side ◽  
Laryngeal Nerve ◽  
Aberrant Right Subclavian Artery ◽  
Appropriate Therapy ◽  
Nonrecurrent Laryngeal Nerve ◽  
Reoperative Thyroid Surgery

The occurrence of nonrecurrent laryngeal nerve and delayed nerve palsy of the contralateral nerve occurring simultaneously has never been described. A 67-year-old woman underwent reoperative completion thyroidectomy for enlarging thyroid nodules with recurrent hyperthyroidism and obstructive symptoms. Preoperative computed tomography of the neck showed a large compressive goitre with an aberrant right subclavian artery. At surgery, a type 1 nonrecurrent laryngeal nerve was found and inadvertently transected due to dense adhesions. It was repaired with ansa cervicalis graft. A fully preserved and functional recurrent laryngeal nerve was seen on the contralateral side at the end of surgery. However, the patient developed a delayed palsy on day 4 of the recurrent laryngeal nerve requiring a tracheostomy. Following successful speech and swallowing therapy, the patient was decannulated with good phonation and recovery of the left cord. Patients are at risk of bilateral nerve injury and late onset palsy in reoperative thyroid surgery. Management can be challenging and should be recognised to ensure appropriate therapy.

Complications after reoperative thyroid surgery: retrospective evaluation of 152 consecutive cases

2019 ◽  
Vol 71 (4) ◽  
pp. 705-710 ◽  
Author(s):  
Fabio Medas ◽  
Massimiliano Tuveri ◽  
Gian Luigi Canu ◽  
Ernico Erdas ◽  
Pietro Giorgio Calò
Keyword(s):  
Thyroid Surgery ◽  
Retrospective Evaluation ◽  
Reoperative Thyroid Surgery

Lateral approach to Thyroid: A Good Technique for Reoperative Thyroid Surgeryat

2016 ◽  
Vol 8 (2) ◽  
pp. 141-142 ◽  
Author(s):  
Duminda DMC Dissanayake ◽  
Ranil F Fernando ◽  
Iresha J Dissanayake
Keyword(s):  
Thyroid Surgery ◽  
Good Alternative ◽  
Lateral Approach ◽  
Morbidity Rate ◽  
Safe Alternative ◽  
Good Technique ◽  
Malignant Lesions ◽  
Reoperative Thyroid Surgery ◽  
Natural Tissue

ABSTRACT Introduction Thyroidectomy is the commonest endocrine surgical procedure undertaken throughout the world. Redo thyroidectomies are challenging procedures with a higher morbidity rate. Lateral approach to thyroid (LATT) is a good alternative to the standard midline exploration. The key to the technique is the development of the natural tissue plane between the strap muscle and the ipsilateral sternocleidomastoid muscle to explore the thyroid bed. A study was carried out to assess the efficacy, safety, and complication of LATT. Materials and methods Data on patients undergoing LATT in professorial surgical unit, Ragama from 2008 to 2015, were collected prospectively and analyzed. All procedures were done by a single surgeon. Results A total of 36 LATTs were done. Data from 32 people were collected, as 4 patients lost follow-up; 29 (90.6%) were females and 3 (9.4%) were males. Their age ranges between 28 and 61 (median 43.37). Three (9.4%) LATTs for parathyroid explorations and out of it one (3.1%) for redo parathyroid explorations were done. Nine (28.1%) cases were redo thyroidectomies and 18 (56.2%) were done with mini incision with lateral approach. Hemithyroidectomies were performed on 28 (87.5%) patients. Bilateral explorations were done on three (9.4%) patients and four (12.5%) lateral approaches were done for completion thyroidectomies for follicular malignant lesions. Transient clinical hypocalcemia was noticed in four (12.5%) patients and one (3.1%) developed hoarseness of voice, which was temporary; and none of them had complications like hematoma and postsurgical stridor. Conclusion Lateral approach to thyroid is a safe alternative to the standard approach for reexplorative thyroid surgery. How to cite this article Dissanayake DDMC, Fernando RF, Dissanayake IJ. Lateral approach to Thyroid: A Good Technique for Reoperative Thyroid Surgery. World J Endoc Surg 2016;8(2):141-142.

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