A New Approach to Thyroid Surgery: Submental Approach, Single-Hole, Non-Inflatable for Endoscopic Thyroidectomy

2021 ◽  
Vol 10 (04) ◽  
pp. 49-53
Author(s):  
小鹏 马
Keyword(s):  
Thyroid Surgery ◽  
Endoscopic Thyroidectomy ◽  
New Approach ◽  
Single Hole

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 Endoscopic Total Thyroidectomy: Report of Two Cases

1970 ◽  
Vol 26 (1) ◽  
pp. 46-49
Author(s):  
M Mohibul Aziz ◽  
MA Wohab Khan ◽  
Shamin Islam
Keyword(s):  
Total Thyroidectomy ◽  
Key Words ◽  
Vocal Cord ◽  
Thyroid Surgery ◽  
Harmonic Scalpel ◽  
Endoscopic Thyroidectomy ◽  
Vocal Cord Palsy ◽  
Experienced Hand ◽  
Thyroid Swelling ◽  
Medical University

Two patients (one male and one female) recently under went total thyroidectomies using a standard laparoscope at the department of surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka. Three ports (one mid line and two laterals) were employed and a harmonic scalpel was used for the dissection. To the best of our knowledge, there was no report of endoscopic total thyroidectomy from Bangladesh. Both patients were fed on the first post operative day. They were discharged between the 3rd and 4th post operative days. There was no hypocalcaemia but one patient developed temporary unilateral vocal cord palsy. Endoscopic thyroidectomy appears to be a technically feasible patient friendly modality of treatment for the selected cases of thyroid swelling in an experienced hand with excellent out come. Key Words: Endoscopic; laparoscopic; thyroid surgery; total thyroidectomy. DOI: 10.3329/jbcps.v26i1.4233 J Bangladesh Coll Phys Surg 2008; 26: 46-49

scholarly journals Gasless Transaxillary Thyroidectomy: A Technique of Endoscopic Thyroidectomy

2013 ◽  
Vol 5 (2) ◽  
pp. 61-63
Author(s):  
PRK Bhargav
Keyword(s):  
Chest Wall ◽  
Thyroid Surgery ◽  
Endoscopic Thyroidectomy ◽  
Video Assisted ◽  
Transaxillary Thyroidectomy

ABSTRACT Various endoscopic thyroidectomy (ET) techniques ranging from video-assisted, total endoscopic, transaxillary endoscopic, robotic and chest wall approaches have been reported for thyroid surgery. They can be broadly divided in to gas-dependent and gasless approaches. Here, we describe our technique of gasless transaxillary thyroidectomy with synergistic benefits of open and endoscopic thyroidectomies. How to cite this article Bhargav PRK. Gasless Transaxillary Thyroidectomy: A Technique of Endoscopic Thyroidectomy. World J Endoc Surg 2013;5(2):61-63.

scholarly journals Endoscopic Lateral Neck Dissection: A New Frontier in Endoscopic Thyroid Surgery

2021 ◽  
Vol 12 ◽  
Author(s):  
Zeyu Zhang ◽  
Botao Sun ◽  
Hui Ouyang ◽  
Rong Cong ◽  
Fada Xia ◽  
...  
Keyword(s):  
Neck Dissection ◽  
Thyroid Surgery ◽  
Current Knowledge ◽  
Endoscopic Thyroidectomy ◽  
Robotic Thyroidectomy ◽  
Lateral Neck ◽  
Lateral Neck Dissection ◽  
Face Lift ◽  
Oncological Safety ◽  
Cosmetic Outcomes

BackgroundEndoscopic thyroidectomy and robotic thyroidectomy are effective and safe surgical options for thyroid surgery, with excellent cosmetic outcomes. However, in regard to lateral neck dissection (LND), much effort is required to alleviate cervical disfigurement derived from a long incision. Technologic innovations have allowed for endoscopic LND, without the need for extended cervical incisions and providing access to remote sites, including axillary, chest–breast, face-lift, transoral, and hybrid approaches.MethodsA comprehensive review of published literature was performed using the search terms “lateral neck dissection”, “thyroid”, and “endoscopy OR endoscopic OR endoscope OR robotic” in PubMed.ResultsThis review provides an overview of the current knowledge regarding endoscopic LND, and it specifically addresses the following points: 1) the surgical procedure, 2) the indications and contraindications, 3) the complications and surgical outcomes, and 4) the technical advantages and limitations. Robotic LND, totally endoscopic LND, and endoscope-assisted LND are separately discussed.ConclusionsEndoscopic LND is a feasible and safe technique in terms of complete resection of the selected neck levels, complications, and cosmetic outcomes. However, it is recommended to strictly select criteria when expanding the population of eligible patients. A formal indication for endoscopic LND has not yet been established. Thus, a well-designed, multicenter study with a large cohort is necessary to confirm the feasibility, long-term outcomes, oncological safety, and influence of endoscopic LND on patient quality of life (QoL).

Modern technologies in thyroid surgery – an overview of the benefits

2019 ◽  
Vol 91 (Suplement 1) ◽  
pp. 5-11
Author(s):  
Marcin Barczyński ◽  
Małgorzata Stopa-Barczyńska ◽  
Aleksander Konturek
Keyword(s):  
Thyroid Surgery ◽  
Near Infrared ◽  
Infrared Imaging ◽  
Endoscopic Thyroidectomy ◽  
Early Discharge ◽  
Endoscopic Thyroid Surgery ◽  
Quality Of Surgery ◽  
Pubmed Database ◽  
Modern Technologies

Utilization of modern technologies in thyroid surgery is increasing. The aim of this paper was to present the up-to-data use of modern technologies in thyroid surgery with special emphasis put on their potential influence on minimized risk of surgeryrelated morbidity and improved quality of surgery. Authors searched PubMed database using the following search terms: modern technologies AND/OR thyroid surgery AND/ OR transoral endoscopic thyroidectomy AND/OR neuromonitoring AND/OR parathyroid preservation AND/OR energybased hemostasis. Of 1678 publications identified 826 were found to be consistent with the aim of this review. The relevant papers addressed the following issues: neuromonitoring in minimization of risk of laryngeal nerves injury (62%), intraoperative iPTH monitoring in preselection of patients for early discharge or onset of substitution with calcium (21.5%), narrow-band and near infrared imaging for identification of parathyroids (5.7%), parathyroids angiography with indcyianine green for parathyroids vascularity assessment (5.5%), transoral endoscopic thyroid surgery via vestibular approach for improvement of cosmetic effects (4.1%), energy-based devices for surgical hemostasis (1.2%). Modern technologies are primarily designed to improve the safety and quality of thyroid surgery, and only then to optimize the cosmetic effects and reduce the time of surgery.

scholarly journals Endoscopic Thyroidectomy for Differentiated Thyroid Cancer

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Yi Yang ◽  
Xiaodong Gu ◽  
Xiaoxiao Wang ◽  
Jianbin Xiang ◽  
Zongyou Chen
Keyword(s):  
Thyroid Cancer ◽  
Learning Curve ◽  
Surgical Procedure ◽  
Differentiated Thyroid Cancer ◽  
Endoscopic Thyroidectomy ◽  
Operation Time ◽  
Cosmetic Result ◽  
Surgical Approaches ◽  
New Approach ◽  
Conventional Thyroidectomy

Endoscopic thyroidectomy is a relatively new approach in treating differentiated thyroid cancer. Since last decades, more and more endoscopic thyroidectomies have been performed. We review the indications and contraindications, methods, and postoperational complications of this surgical procedure. Lots of surgical approaches have been developed in endoscopic thyroidectomy for differentiated thyroid cancer. Compared to conventional thyroidectomy, scarless endoscopic thyroidectomy has a superior cosmetic result. And it also reduces the incidence of hypesthesia, paresthesia, or feelings of self-consciousness. However, the outcome depends, to a large extent, on the skill of the operator and the learning curve being relatively long. With the development of surgical equipments and skills, operation time and complications will be reduced. Indications of endoscopic thyroidectomy will be widened and it will be more and more performed.

New Techniques in Thyroid Surgery – Critical Evaluation

2019 ◽  
Vol 91 (Suplement 1) ◽  
pp. 12-16
Author(s):  
Krzysztof Kaczka ◽  
Lech Pomorski
Keyword(s):  
Thyroid Surgery ◽  
Endoscopic Thyroidectomy ◽  
Critical Evaluation ◽  
Thyroid Neoplasms ◽  
Fluorescence Angiography ◽  
New Techniques ◽  
Search Terms ◽  
Narrowband Imaging ◽  
Continuous Neuromonitoring ◽  
Vestibular Approach

Introduction: Operations due to benign and malignant thyroid neoplasms constitute a significant percentage of operations in general and oncological surgery wards. Therefore, unsurprisingly, better and better methods are being sought to avoid the occurrence of two major complications after those operations, i.e. laryngeal nerve palsy and hypoparathyroidism and new minimally invasive accesses. M aterial and methods: Authors searched MEDLINE database using the following search terms: modern technologies AND/ OR thyroid surgery AND/OR intermittent neuromonitoring AND/OR continuous neuromonitoring AND/OR parathyroid preservation AND/OR transoral endoscopic thyroidectomy AND/OR TOETVA. Results: The paper discusses the following new techniques of thyroid surgery with particular focus on limitations: neuromonitoring, narrowband imaging, fluorescence angiography and transoral endoscopic thyroidectomy by vestibular approach. Conclusions: Some of the new techniques are highly clinically useful. Their use can become a routine element of standard thyroidectomy.

scholarly journals Preoperative scar perception study comparing ‘scarless’ in the neck endoscopic thyroidectomy with open thyroidectomy: a cross-sectional study

2020 ◽  
Vol 102 (9) ◽  
pp. 737-743
Author(s):  
TY Qiu ◽  
JWL Lau ◽  
O Wong ◽  
HB Oh ◽  
TW Boon ◽  
...  
Keyword(s):  
Body Image ◽  
Confidence Interval ◽  
Surgical Approach ◽  
Thyroid Surgery ◽  
Odds Ratio ◽  
Endoscopic Thyroidectomy ◽  
Open Thyroidectomy ◽  
Body Image Scale ◽  
The Mean ◽  
Perception Score

Introduction Open thyroidectomy is the most common approach to thyroid surgery. However, ‘scarless’ (in the neck) endoscopic thyroidectomy, consisting of endoscopic and robotic surgery, is progressively being adopted for its perceived cosmetic benefits. This study aims to determine the patient’s preferred surgical approach and to identify the factors that influence their decision. Materials and methods A pilot study consisting of 100 patients with a surgical thyroid disorder were prospectively recruited from a single tertiary centre. An interviewer-administered survey was conducted. Demographic, socioeconomic status, scar perception and an adapted body image scale were evaluated to identify factors that shaped the patient’s perception of the surgical approach. Results The mean age of participants was 54.5 ± 13.0 years; 72% were women and 87% Chinese. Of the 100 patients, 75 patients considered scarless endoscopic thyroidectomy as their preferred surgical approach while 25 patients opted for open thyroid surgery. Improvement in scar perception score between scarless endoscopic thyroidectomy and open thyroid surgery is associated with an increased willingness to choose scarless endoscopic thyroidectomy. The mean body image scale score was 6.9 ± 2.8, indicating no statistical difference between the surgical approaches. On multivariate analysis, improvement in scar perception score (odds ratio 3.38, 95% confidence interval 1.11–10.29) and having surgeon recommendation (odds ratio 6.38, 95% confidence interval 1.80–22.63) were independently associated with interest in scarless endoscopic thyroidectomy. Conclusion Patients interest in undergoing scarless endoscopic thyroidectomy is driven by improved scar perception and surgeon’s recommendation compared with open thyroid surgery.

Assessing National Utilization Trends and Outcomes of Robotic and Endoscopic Thyroidectomy in the United States

2020 ◽  
Vol 163 (5) ◽  
pp. 947-955 ◽  
Author(s):  
Daniel Jacobs ◽  
Sina J. Torabi ◽  
Courtney Gibson ◽  
Rahmatullah Rahmati ◽  
Saral Mehra ◽  
...  
Keyword(s):  
Thyroid Surgery ◽  
Open Surgery ◽  
Endoscopic Thyroidectomy ◽  
Postoperative Mortality ◽  
The United States ◽  
Complication Rates ◽  
Endoscopic Thyroid Surgery ◽  
Increased Risk ◽  
Robotic Thyroid Surgery ◽  
Over Time

Objective We aimed to evaluate trends and outcomes of surgical approaches to thyroid surgery. We hypothesized that there have been changes over time in the utilization of approaches to thyroidectomy, including endoscopic, robotic, and open approaches, and that patient outcomes may differ between open surgery and endoscopic or robotic approaches. Study Design Retrospective analysis. Setting The National Cancer Database (NCDB) was queried between 2010 and 2016. Subjects and Methods National cohort of patients. Descriptive statistics were performed using χ2 test, Mann-Whitney U test, t test and analysis of variance. To investigate complication rates, patient matching was performed with subsequent analysis using simple and multivariable logistic regressions. Results We identified 217,938 patients within the NCDB. While endoscopic thyroid surgery increased, relatively, in use over time (0.93% to 2.34% of cases in 2010 and 2016, respectively), robotic thyroid surgery started to decline relatively to other approaches from 2013 to 2016 (0.39% to 0.25% of cases, respectively). The endoscopic approach was performed more commonly than the robotic approach within individual facilities that have reported both procedures ( P = .025). Robotic thyroid surgery was associated with increased risk of positive margins ( P = .046), while endoscopic thyroid surgery was associated with a higher rate of unplanned hospital readmission (OR, 1.55; 95% CI, 1.09-2.22), longer inpatient stays (OR, 1.55; 95% CI, 1.19-2.02), and higher 90-day postoperative mortality (OR, 4.45; 95% CI, 1.58-12.6). Conclusion Endoscopic thyroid surgery has increased in utilization since 2004 but may have worse morbidity and mortality outcomes compared to open surgery.

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