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Thyroidectomy - Europe PMC

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Last Updated: 05 July 2022

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Feasibility of robotic thyroidectomy via hairline incision using da Vinci single port system: Initial experience with 40 consecutive cases.

Methods Forty patients underwent robotic thyroidectomy at Ulsan University Hospital between February 2020 and April 2021, using a hairline incision. In eight patients, Hemithyroidectomies were performed in 32 patients and total thyroidectomies were present. In 32 patients, central neck dissection was performed. Conclusions Robotic thyroidectomy by hairline incision is both safe and effective, with a shorter incision length than the Xi system's.

Source link: https://europepmc.org/article/MED/35770328


Is total thyroidectomy with bilateral central neck dissection the only surgery for papillary thyroid carcinoma patients with clinically involved central nodes?

Background: We often saw patients who underwent complete thyroidectomy due to medically causing nodal disease had less standardized CLNM on final pathology. This report examines whether total thyroidectomy and therapeutic bilateral CND are required for all PTC patients with cN1a. Methods This review retrospectively reviewed 899 PTC patients who underwent total thyroidectomy with bilateral CND from January 2012 to June 2017. According to pre-operative central lymph node status, the patients were divided into two groups: cn0, no suspicious CLNM; cN1a, suspicious CLNM; and cN1a, suspicious CLNM. unilateral cN1a, on the other hand, was not associated with an elevated risk of contralateral lobe involvement and contralateral CLNM. Of 106 unilateral cN1a patients, 33 were found to be pN0 or had u2264 5 metastatic CLNs with the largest node smaller than 2 mm. However, lobectomy with CND may have been effective in about 30% of the cN1a patients.

Source link: https://europepmc.org/article/MED/35768863


The Learning Curve and Importance of Collaboration in Endoscopic Thyroidectomy Via Breast Areola Approach: A Single Surgical Team's Experience of 100 Patients.

Background Endoscopic thyroidectomy is gaining traction among young patients due to the excellent cosmetic results. Our research seeks to identify the learning curve of endoscopic thyroidectomy via breast areola strategy, provide details of this strategy, and highlight the value of collaboration. Methods The authors retrospectively reviewed 100 cases of benign and malignant thyroid disease who underwent endoscopic thyroidectomy by breast areola surgery between January 2015 and December 2020, which were performed by the same group of surgeons with no expertise in endoscopic thyroidectomy. The mean operating time and blood loss decreased significantly after the first 30 cases and then again after the first 60 cases. Conclusions by investigating the learning curve, a well-trained surgeon with experience in conventional open thyroidectomy can significantly reduce the total operation time. A solid team is essential for a fruitful endoscopic thyroid surgery.

Source link: https://europepmc.org/article/MED/35767477


Postoperative Complications After Total Thyroidectomy for Patients With Graves' Disease.

Using the National Surgical Quality Improvement Program database, you can find the prevalence and types of postoperative complications in patients with and without Graves' disease undergoing total thyroidectomy. Retrospective cohort analysis. NSQIP's Impact: All hospitals participating in NSQIP from 2007 to 2017 are reporting. Methods Thyroidectomy results were extracted from the NSQIP database from 2007 to 2017 using the same Current Procedural Terminology codes. Patients with a diagnosis of Graves' disease were compared to the control group, which consisted of other non-clinical diagnoses. Patients with Graves' disease who underwent total thyroidectomy had a higher incidence of readmission and rate of reoperation in comparison to control patients. Patients with Graves' disease undergoing total thyroidectomy are at a greater risk of complications than those who do not have Graves' disease, owing to the disease's sequelae.

Source link: https://europepmc.org/article/MED/35763358


Learning curve and volume outcome relationship of endoscopic trans-oral versus trans-axillary thyroidectomy; A systematic review and meta-analysis.

Background In the modern era, minimally invasive surgery is quickly evolving and even replacing conventional open techniques in several surgical fields. With the development of multiple endoscopic thyroidectomy techniques, thyroidectomy was not an exception. Trans-oral endoscopic trans-vestibular thyroidectomy (Tero) is a new procedure with promising results. This meta-analysis was conducted to compare surgical outcomes and learning curves for TOT and other endoscopic thyroidectomy procedures. In TOT and TAT, the operative time and harvested L. Ns number were higher, but less EBL in TOT versus TAT were higher than TAT, but not TAT. For harvested LNs, the cost was 158. 03 vs 144. 97 min, 6. 33 vs 5. 16 for TOT and TAT, and $ 5,919. 05 vs $6,253. 79. The cases of 6 to 15 annual cases showed statistical significance in learning curve development. Trans-oral thyroidectomy is a safe and effective procedure with results comparable to other endoscopic procedures.

Source link: https://europepmc.org/article/MED/35764254


Internal branch of superior laryngeal nerve block by dexamethasone alleviates sore throat after thyroidectomy: a randomized controlled trial.

The aim of this investigation was to compare the effects of local spray and perineural injection surrounding the internal branch of superior laryngeal nerve in preventing POST and improving postoperative performance. 4 mg dexamethasone was sprayed on to the vocal cord; Group iSLN: bilateral perineural injection with 4 mg dexamethasone around the iSLN. At 6 h after the surgery, the patients had less swallowing pain than at Group Spray, according to Group Spray. When compared to Group Spray, Group iSLN enhanced postoperative voice function, which was characterised by lower jitter and lower shimmer at 6 h and 24 h after the surgery. In Group Spray, the incidence of postoperative cough is higher. Conclusions Among patients undergoing elective thyroidectomy, those who received perineural injection with dexamethasone, had improved voice clarity and more success in the reduction of POST and cough, compared to the local spray.

Source link: https://europepmc.org/article/MED/35737102


Effects of lidocaine administration via the perforated outer cuff of a dual-cuff endotracheal tube and remifentanil administration on recovery from general anaesthesia for female patients undergoing thyroidectomy: a single centre, double-blind, randomised study.

In addition, lidocaine administered through the perforated outer cuff of a dual-cuff endotracheal tube was found to reduce coughing due to ETT placement in a pilot study. Patients were randomly chosen to have either 4 ml of saline solution or 4 ml of 2% lidocaine in the outer cuff at the time of skin suction. In Group R, Remifentanil was maintained until extubation, but remifentanil was retained in Group L until the end of skin suturing. The spontaneous respiration recovery time, the extubation time, the duration of post-anaesthesia care unit stay, Richmond Agitation-Sedation Scale scores in the agitated range and Critical-Care Pain Observation Tool ratings, however, decreased heart rate rise and hypoxemia at 5 min after extubation, and hypoxemia at 5 min after extubation. After thyroidectomy, Lidocaine was delivered by a perforated outer cuff of the ETT, resulting in considerable improvement in female patients following thyroidectomy.

Source link: https://europepmc.org/article/MED/35733086


Endoscopic thyroidectomy via the combined trans-oral and chest approach for cT1-2N1bM0 papillary thyroid carcinoma.

However, lymph nodes dissection at level IV and VI by the chest method is extremely difficult. In this research, we used a combined trans-oral and chest approach for endoscopic thyroidectomy in patients with cT1-2N1bM0 papillary thyroid carcinoma. Methods were retrospectively reviewed to determine ten patients with cT1-2N1bM0 PTC who underwent endoscopic thyroidectomy using a combination of trans-oral and chest approach between September 2020 and September 2021. All 10 patients were able to receive total thyroidectomy and selective LND by chest surgery, with central neck dissection and supplementary lymph nodes at level IV were performed by the trans-oral technique. Five patients suffered numbness of lateral neck and ear, while one patient suffered with leg lift restriction. Preoperative examination may reveal one more alternative for cT1-N1bM0 PTC patients, particularly those in whom metastatic lymph nodes at level IV or level VI are found by preoperative examination.

Source link: https://europepmc.org/article/MED/35732836

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions