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Transoral video assisted thyroidectomy: a systematic review.
- Source :
-
Il Giornale di chirurgia [G Chir] 2018 Sep-Oct; Vol. 39 (5), pp. 276-283. - Publication Year :
- 2018
-
Abstract
- Introduction: The aim of this study is to perform a review of the English-language international literature concerning thyroid surgery performed through the transoral vestibular approach, to evaluate its flessibility and safety in terms of complications.<br />Materials and Method: The review was carried out on 17 studies of 17 different Authors. The following variables were taken into consideration: first Author's name, nationality, year of publication, number of cases, hospital stay, conversion rate, type of surgical approach, total number of total thyroidectomies and loboisthmectomies, operative time range, intraoperative blood loss range, number and percentage of complications.<br />Results: 736 procedures were performed: 289 total thyroidectomies and 447 loboisthmectomies. Surgical approach was trivestibular in 15 cases and combined (oro-vestibular) in 2 cases. The operative time varies from 43 minutes for a loboisthmectomy to 345 for a total thyroidectomy. Intraoperative blood loss ranges from 3 to 300 ml. Ten cases were converted into open surgery. The hospital stay varies from 1 to 10 days. Complications were: transient recurrent laryngeal nerve palsy in 34 cases, permanent in 2 cases; transient hypoparathyroidism in 62 cases. One case of postoperative bleeding, 22 postoperative seroma, 20 cases of mental nerve injury, 8 cases of operative wound infection.<br />Conclusions: Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a new surgical method, the use of which exclusively meets the aesthetic needs of some patients. Its specific complication is the injury of the mental nerves. Further studies, however, seem to be necessary, on numerically broader cases, to ascertain the real validity of the method.
- Subjects :
- Blood Loss, Surgical
Conversion to Open Surgery statistics & numerical data
Humans
Hypoparathyroidism epidemiology
Hypoparathyroidism etiology
Length of Stay statistics & numerical data
Mouth
Natural Orifice Endoscopic Surgery adverse effects
Natural Orifice Endoscopic Surgery statistics & numerical data
Operative Time
Postoperative Complications epidemiology
Postoperative Complications etiology
Postoperative Hemorrhage epidemiology
Postoperative Hemorrhage etiology
Robotic Surgical Procedures adverse effects
Robotic Surgical Procedures methods
Robotic Surgical Procedures statistics & numerical data
Surgical Wound Infection epidemiology
Thyroidectomy adverse effects
Thyroidectomy statistics & numerical data
Trigeminal Nerve Injuries epidemiology
Trigeminal Nerve Injuries etiology
Vocal Cord Paralysis epidemiology
Vocal Cord Paralysis etiology
Natural Orifice Endoscopic Surgery methods
Thyroidectomy methods
Video-Assisted Surgery adverse effects
Video-Assisted Surgery statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 0391-9005
- Volume :
- 39
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Il Giornale di chirurgia
- Publication Type :
- Academic Journal
- Accession number :
- 30368265