We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Clinical Applied Anatomy in Trans-Areolar Endoscopic Thyroidectomy: Crucial Anatomical Landmarks.
- Authors
Liang, Junjie; Ye, Weiheng; Li, Jiexing; Cao, Mingrong; Hu, Youzhu
- Abstract
Introduction: Endoscopic thyroidectomy (ET) has been successfully established as an excellent surgical approach. This study summarizes and describes the crucial anatomical landmarks for clinical applied anatomy in trans-areolar ET, which may help further improve the quality and safety of trans-areolar ET. Materials and Methods: Five hundred forty patients who underwent trans-areolar ET from January 2015 to June 2018 at our institution were evaluated. Several crucial anatomical landmarks were described during the surgical procedures. The surgical outcomes, including the operative time, conversion, intraoperative blood loss, postoperative complications, and postoperative stay, were collected. Results: All patients successfully underwent trans-areolar ET without conversion. The mean operative time was 142.18 ± 49.91 minutes (150.84 ± 50.32 minutes for total thyroidectomy and 110.20 ± 32.4 for lobectomy with isthmusectomy). The mean intraoperative blood loss was 20.45 ± 10.89 mL. The postoperative stay was 5.42 ± 1.49 days. The postoperative complication rate was 7.78%, including transient hypocalcemia in 30 patients, transient recurrent laryngeal nerve palsy in 3 patients, and skin ecchymosis in 9 patients. Conclusions: An understanding of crucial anatomical landmarks for clinical applied anatomy may improve the quality and safety of trans-areolar ET and subsequently help promote the development of ET.
- Subjects
SURGICAL blood loss; OPERATIVE surgery; LARYNGEAL nerve palsy; THYROIDECTOMY; SURGICAL complications; ANATOMY; HYPERTHYROIDISM; THYROID gland tumors; PARALYSIS; HUMAN body; RETROSPECTIVE studies; VOCAL cord diseases; POSTOPERATIVE period; ENDOSCOPY; THYROID gland
- Publication
Journal of Laparoendoscopic & Advanced Surgical Techniques, 2020, Vol 30, Issue 7, p803
- ISSN
1092-6429
- Publication type
journal article
- DOI
10.1089/lap.2020.0029