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- Title
Transareola Single-Site Laparoendoscopic Bilateral Thyroidectomy.
- Authors
Zhu, Guanghui; Zhang, Ming; Zhang, Xueli; Zhou, Lianming; Wang, Shiguang; Tang, Zhiqiang; Shan, Yuanzhou
- Abstract
Background: Transareola single-site endoscopic thyroidectomy has been successfully established as a surgical approach. This study investigated the feasibility and safety of transareola single-site endoscopic thyroidectomy for bilateral thyroid disease. Patients and Methods: Twelve patients who underwent bilateral thyroidectomy were enrolled in this study. The surgical outcomes were analyzed, including operation time, intraoperative bleeding volume, postoperative pain score, and cosmetic satisfaction score. Results: All patients underwent successful transareola single-site endoscopic bilateral thyroidectomy, and no patient was semiconverted to three-port endoscopic surgery or open surgery. Seven patients underwent bilateral partial thyroidectomy, and 5 patients underwent subtotal thyroidectomy plus contralateral partial thyroidectomy. The mean operation time was 165±23.8 minutes (range, 142-185 minutes). The mean intraoperative bleeding volume was 27.3±12.3 mL (range, 20-45 mL). The mean postoperative wound drainage was 121±45.8 mL (range, 85-137 mL). The drainage tube was removed 3-4 days after surgery. The mean visual analog scale score was 3.3±2.5 (range, 1-5) at 24 hours postoperatively. The patients were followed up for 2 month with no complaint of chest wall wound pain and numbness. The mean cosmetic satisfaction score was 9.55±0.8 (range, 8-10). Conclusions: Transareola single-site endoscopic bilateral thyroidectomy is feasible and safe and has the advantages of high cosmetic satisfaction.
- Subjects
HEALTH outcome assessment; LAPAROSCOPIC surgery; THYROIDECTOMY; THYROID gland surgery; CONNECTIVE tissues
- Publication
Journal of Laparoendoscopic & Advanced Surgical Techniques, 2014, Vol 24, Issue 6, p379
- ISSN
1092-6429
- Publication type
Article
- DOI
10.1089/lap.2013.0494