Yıl: 2019 Cilt: 50 Sayı: 4 Sayfa Aralığı: 8 - 13 Metin Dili: İngilizce İndeks Tarihi: 26-03-2020

Better Outcomes with Minimally Invasive Thyroidectomy than Conventional Thyroidectomy

Öz:
Objective: Minimally invasive thyroidectomy is a relatively new technique used in selected patients with success. Aim of this study was to evaluate our results from conventional and minimally invasive thyroidectomy and compare their outcomes.Materials and Methods: 137 patients undergone conventional and minimally invasivethyroidectomy (video-assisted and open technique with mini-cervicotomy) were reviewed. Demographic data, blood loss, operative time, postoperative pain, cosmeticoutcome and complications were examined and compared.Results: Minimally invasive group consists of 53 cases (39%) and conventional groupis composed of 84 cases (61%). No conversion from minimally invasive to conventionaltechniques was observed. In minimally invasive group, 25 patients (47%) had differentiated thyroid carcinoma and 28 patients (53%) had benign pathologies. Postoperativecomplications include transient hypocalcemia in 5 patients (3.6%) (4 in conventional,1 in minimally invasive group), permanent hypocalcemia in 4 patients (3%) (3 in conventional, 1 in minimally invasive group), unilateral vocal cord paralysis in 2 patients(2%) (1 in conventional, 1 in minimally invasive group). Operative time was similar inboth groups; however, blood loss during surgery, postoperative pain was significantlylower in minimally invasive group.Conclusion: Minimally invasive techniques could be implemented on selected carcinoma patients and results in equal safety and less surgical morbidity.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • [1]Miccoli P, Berti P, Conte M, et al. Minimally invasive surgery for thyroid small nodules: preliminary report. J Endocrinol Invest 1999; 22(11): 849-51.
  • [2]Miccoli P, Berti P, Raffaelli M, et al. Comparison between minimally invasive video-assisted thyroidectomy and conventional thyroidectomy: a prospective randomized study. Surgery 2001; 130(6): 1039-43.
  • [3]Lombardi CP, Raffaelli M, Princi P, et al. Video-assisted thyroidectomy: report of a 7-year experience in Rome. Langenbecks Arch Surg 2006; 391(3): 174-77.
  • [4]Terris DJ, Seybt MW, Elchoufi M, et al. Cosmetic thyroid surgery: defining the essential principles. Laryngoscope 2007; 117(7): 1168-72.
  • [5]Terris DJ, Angelos P, Steward DL, et al. Minimally invasive video-assisted thyroidectomy: a multi-institutional North American experience. Arch Otolaryngol Head Neck Surg 2008; 134(1): 81-84.
  • [6]Henry JF. Minimally invasive thyroid and parathyroid surgery is not a question of length of the incision. Langenbecks Arch Surg 2008; 393(5): 621-26.
  • [7]Terris DJ and Seybt MW. Classification system for minimally invasive thyroid surgery. ORL J Otorhinolaryngol Relat Spec 2008; 70(5): 287-291.
  • [8]Linos D. Minimally invasive thyroidectomy: a comprehensive appraisal of existing techniques. Surgery 2011; 150(1): 17-24.
  • [9]Pons Y, Verillaud B, Blancal JP, et al. Minimally invasive video-assisted thyroidectomy: Learning curve in terms of mean operative time and conversion and complication rates. Head Neck 2013; 35(8): 1078-82.
  • [10]Chiesa F. The 100 years Anniversary of the Nobel Prize Award winner Emil Theodor Kocher, a brilliant far-sighted surgeon. Acta Otorhinolaryngol Ital 2009; 29(6): 289.
  • [11]Billroth T. Die allgemeine chirurgische Pathologie und Therapie. 1871: Reimer.
  • [12]Bellantone R, Lombardi CP, Bossola M, et al. Video-assisted vs conventional thyroid lobectomy: a randomized trial. Arch Surg 2002; 137(3): 301-304; discussion 305.
  • [13]Terris DJ and Chin E. Clinical implementation of endoscopic thyroidectomy in selected patients. Laryngoscope 2006; 116(10): 1745-48.
  • [14]Scerrino G, et al., Minimally Invasive Video-Assisted Thyroidectomy: Analysis of Complications From a Systematic Review. Surg Innov 2019; 26(3): 381-87.
  • [15]Chao TC, Lin JD, and Chen MF. Video-assisted open thyroid lobectomy through a small incision. Surg Laparosc Endosc Percutan Tech 2004; 14(1): 15-19.
  • [16]El-Labban GM. Minimally invasive video-assisted thyroidectomy versus conventional thyroidectomy: A single-blinded, randomized controlled clinical trial. J Minim Access Surg 2009; 5(4): 97-102.
  • [17]Lombardi CP, Raffaelli M, Princi P, et al. Safety of video-assisted thyroidectomy versus conventional surgery. Head Neck 2005; 27(1): 58-64.
  • [18]Miccoli P, Rago R, Massi M, et al. Standard versus video-assisted thyroidectomy: objective postoperative pain evaluation. Surg Endosc 2010; 24(10): 2415-17.
APA SÜTAY SÜSLÜ N, KÜLEKÇİ Ç, DAĞDELEN S, YILDIZ N, ERBAŞ A (2019). Better Outcomes with Minimally Invasive Thyroidectomy than Conventional Thyroidectomy. , 8 - 13.
Chicago SÜTAY SÜSLÜ Nilda,KÜLEKÇİ Çağrı,DAĞDELEN Selçuk,YILDIZ Nafiye,ERBAŞ AYŞE TOMRİS Better Outcomes with Minimally Invasive Thyroidectomy than Conventional Thyroidectomy. (2019): 8 - 13.
MLA SÜTAY SÜSLÜ Nilda,KÜLEKÇİ Çağrı,DAĞDELEN Selçuk,YILDIZ Nafiye,ERBAŞ AYŞE TOMRİS Better Outcomes with Minimally Invasive Thyroidectomy than Conventional Thyroidectomy. , 2019, ss.8 - 13.
AMA SÜTAY SÜSLÜ N,KÜLEKÇİ Ç,DAĞDELEN S,YILDIZ N,ERBAŞ A Better Outcomes with Minimally Invasive Thyroidectomy than Conventional Thyroidectomy. . 2019; 8 - 13.
Vancouver SÜTAY SÜSLÜ N,KÜLEKÇİ Ç,DAĞDELEN S,YILDIZ N,ERBAŞ A Better Outcomes with Minimally Invasive Thyroidectomy than Conventional Thyroidectomy. . 2019; 8 - 13.
IEEE SÜTAY SÜSLÜ N,KÜLEKÇİ Ç,DAĞDELEN S,YILDIZ N,ERBAŞ A "Better Outcomes with Minimally Invasive Thyroidectomy than Conventional Thyroidectomy." , ss.8 - 13, 2019.
ISNAD SÜTAY SÜSLÜ, Nilda vd. "Better Outcomes with Minimally Invasive Thyroidectomy than Conventional Thyroidectomy". (2019), 8-13.
APA SÜTAY SÜSLÜ N, KÜLEKÇİ Ç, DAĞDELEN S, YILDIZ N, ERBAŞ A (2019). Better Outcomes with Minimally Invasive Thyroidectomy than Conventional Thyroidectomy. Acta Medica, 50(4), 8 - 13.
Chicago SÜTAY SÜSLÜ Nilda,KÜLEKÇİ Çağrı,DAĞDELEN Selçuk,YILDIZ Nafiye,ERBAŞ AYŞE TOMRİS Better Outcomes with Minimally Invasive Thyroidectomy than Conventional Thyroidectomy. Acta Medica 50, no.4 (2019): 8 - 13.
MLA SÜTAY SÜSLÜ Nilda,KÜLEKÇİ Çağrı,DAĞDELEN Selçuk,YILDIZ Nafiye,ERBAŞ AYŞE TOMRİS Better Outcomes with Minimally Invasive Thyroidectomy than Conventional Thyroidectomy. Acta Medica, vol.50, no.4, 2019, ss.8 - 13.
AMA SÜTAY SÜSLÜ N,KÜLEKÇİ Ç,DAĞDELEN S,YILDIZ N,ERBAŞ A Better Outcomes with Minimally Invasive Thyroidectomy than Conventional Thyroidectomy. Acta Medica. 2019; 50(4): 8 - 13.
Vancouver SÜTAY SÜSLÜ N,KÜLEKÇİ Ç,DAĞDELEN S,YILDIZ N,ERBAŞ A Better Outcomes with Minimally Invasive Thyroidectomy than Conventional Thyroidectomy. Acta Medica. 2019; 50(4): 8 - 13.
IEEE SÜTAY SÜSLÜ N,KÜLEKÇİ Ç,DAĞDELEN S,YILDIZ N,ERBAŞ A "Better Outcomes with Minimally Invasive Thyroidectomy than Conventional Thyroidectomy." Acta Medica, 50, ss.8 - 13, 2019.
ISNAD SÜTAY SÜSLÜ, Nilda vd. "Better Outcomes with Minimally Invasive Thyroidectomy than Conventional Thyroidectomy". Acta Medica 50/4 (2019), 8-13.