Novel suspension system for gasless transoral vestibular thyroidectomy
Background The transoral endoscopic thyroidectomy vestibular approach (TOETVA) is receiving increased attention, frequently due to growing requirements for cosmetic incisions. Here, we report our initial experience and discuss the safety and efficacy of the innovative surgical working space suspensi...
Gespeichert in:
| Veröffentlicht in: | Surgical endoscopy 2023-02, Vol.37 (2), p.1070-1076 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1076 |
|---|---|
| container_issue | 2 |
| container_start_page | 1070 |
| container_title | Surgical endoscopy |
| container_volume | 37 |
| creator | Jiang, Jinxi He, Gaofei Chu, Junjie Li, Jianbo Lu, Xiaoxiao Zhang, Deguang |
| description | Background
The transoral endoscopic thyroidectomy vestibular approach (TOETVA) is receiving increased attention, frequently due to growing requirements for cosmetic incisions. Here, we report our initial experience and discuss the safety and efficacy of the innovative surgical working space suspension system for gasless TOETVA.
Methods
We retrospectively analyzed 75 consecutive patients for whom gasless TOETVA with our novel working space suspension system was used. This suspension system included self-developed retractors, a sterile bandage, and an anesthesia stand. We also improved some main surgical instruments in gasless TOETVA.
Results
The study included 75 patients who successfully underwent thyroidectomy and central neck dissection via gasless TOETVA. The mean operating time was 143.27 ± 34.60 min. The mean number of retrieved lymph nodes was 8.00 ± 5.39. Conversion to open surgery did not occur, nor did patients exhibit serious postoperative complications. Postoperative complications included 4 cases of transient recurrent laryngeal nerve (RLN) palsy, 9 of transient hypoparathyroidism, and 3 of transient mental nerve injury. One patient with subcutaneous fluid after surgery recovered after aspiration. Another patient with submental minor perforation recovered well after suturing. There was no evidence of specific complications related to self-designed retractors.
Conclusion
The innovative working space suspension system for gasless TOETVA provided enough and stable working space and optimized the clarity of the surgical field without CO
2
-related complications. |
| doi_str_mv | 10.1007/s00464-022-09528-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2715438550</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2778479479</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-308c7695cc7a4d755ae430d0502a2e7dd93a3a0c0dba6e46a2fab5036487e9203</originalsourceid><addsrcrecordid>eNp9kD1PwzAQhi0EoqXwBxhQJBaWwPkrjkeEKCBVsMBsuYlbUiVx8SWV8u9xaQGJgemGe973Tg8h5xSuKYC6QQCRiRQYS0FLlqf6gIyp4CxljOaHZAyaQ8qUFiNygriCyGsqj8mIZzTuMjom02e_cXWCPa5di5VvExywc02y8CFZWqwdYtIF26IPtk42Drtq3tc2JN37EHxVuqLzzXBKjha2Rne2nxPyNr1_vXtMZy8PT3e3s7TgSnYph7xQmZZFoawolZTWCQ4lSGCWOVWWmltuoYBybjMnMssWdi6BZyJXTjPgE3K1610H_9HHZ0xTYeHq2rbO92iYolLwXMotevkHXfk-tPG7SKlcRC1KR4rtqCJ4xOAWZh2qxobBUDBby2Zn2UTL5suy2YYu9tX9vHHlT-RbawT4DsC4apcu_N7-p_YTlXOH6Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2778479479</pqid></control><display><type>article</type><title>Novel suspension system for gasless transoral vestibular thyroidectomy</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Jiang, Jinxi ; He, Gaofei ; Chu, Junjie ; Li, Jianbo ; Lu, Xiaoxiao ; Zhang, Deguang</creator><creatorcontrib>Jiang, Jinxi ; He, Gaofei ; Chu, Junjie ; Li, Jianbo ; Lu, Xiaoxiao ; Zhang, Deguang</creatorcontrib><description>Background
The transoral endoscopic thyroidectomy vestibular approach (TOETVA) is receiving increased attention, frequently due to growing requirements for cosmetic incisions. Here, we report our initial experience and discuss the safety and efficacy of the innovative surgical working space suspension system for gasless TOETVA.
Methods
We retrospectively analyzed 75 consecutive patients for whom gasless TOETVA with our novel working space suspension system was used. This suspension system included self-developed retractors, a sterile bandage, and an anesthesia stand. We also improved some main surgical instruments in gasless TOETVA.
Results
The study included 75 patients who successfully underwent thyroidectomy and central neck dissection via gasless TOETVA. The mean operating time was 143.27 ± 34.60 min. The mean number of retrieved lymph nodes was 8.00 ± 5.39. Conversion to open surgery did not occur, nor did patients exhibit serious postoperative complications. Postoperative complications included 4 cases of transient recurrent laryngeal nerve (RLN) palsy, 9 of transient hypoparathyroidism, and 3 of transient mental nerve injury. One patient with subcutaneous fluid after surgery recovered after aspiration. Another patient with submental minor perforation recovered well after suturing. There was no evidence of specific complications related to self-designed retractors.
Conclusion
The innovative working space suspension system for gasless TOETVA provided enough and stable working space and optimized the clarity of the surgical field without CO
2
-related complications.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-022-09528-9</identifier><identifier>PMID: 36109361</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdominal Surgery ; Embolisms ; Endoscopy ; Gastroenterology ; Gynecology ; Hepatology ; Hospitals ; Humans ; Hypoparathyroidism - complications ; Hypoparathyroidism - surgery ; Medicine ; Medicine & Public Health ; Natural Orifice Endoscopic Surgery - adverse effects ; Original Article ; Patients ; Postoperative Complications - etiology ; Proctology ; Retrospective Studies ; Suctioning ; Surgery ; Surgical apparatus & instruments ; Thyroid cancer ; Thyroid gland ; Thyroid Neoplasms - surgery ; Thyroidectomy ; Thyroidectomy - adverse effects ; Vocal Cord Paralysis - etiology</subject><ispartof>Surgical endoscopy, 2023-02, Vol.37 (2), p.1070-1076</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-308c7695cc7a4d755ae430d0502a2e7dd93a3a0c0dba6e46a2fab5036487e9203</citedby><cites>FETCH-LOGICAL-c375t-308c7695cc7a4d755ae430d0502a2e7dd93a3a0c0dba6e46a2fab5036487e9203</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-022-09528-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-022-09528-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27911,27912,41475,42544,51306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36109361$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jiang, Jinxi</creatorcontrib><creatorcontrib>He, Gaofei</creatorcontrib><creatorcontrib>Chu, Junjie</creatorcontrib><creatorcontrib>Li, Jianbo</creatorcontrib><creatorcontrib>Lu, Xiaoxiao</creatorcontrib><creatorcontrib>Zhang, Deguang</creatorcontrib><title>Novel suspension system for gasless transoral vestibular thyroidectomy</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
The transoral endoscopic thyroidectomy vestibular approach (TOETVA) is receiving increased attention, frequently due to growing requirements for cosmetic incisions. Here, we report our initial experience and discuss the safety and efficacy of the innovative surgical working space suspension system for gasless TOETVA.
Methods
We retrospectively analyzed 75 consecutive patients for whom gasless TOETVA with our novel working space suspension system was used. This suspension system included self-developed retractors, a sterile bandage, and an anesthesia stand. We also improved some main surgical instruments in gasless TOETVA.
Results
The study included 75 patients who successfully underwent thyroidectomy and central neck dissection via gasless TOETVA. The mean operating time was 143.27 ± 34.60 min. The mean number of retrieved lymph nodes was 8.00 ± 5.39. Conversion to open surgery did not occur, nor did patients exhibit serious postoperative complications. Postoperative complications included 4 cases of transient recurrent laryngeal nerve (RLN) palsy, 9 of transient hypoparathyroidism, and 3 of transient mental nerve injury. One patient with subcutaneous fluid after surgery recovered after aspiration. Another patient with submental minor perforation recovered well after suturing. There was no evidence of specific complications related to self-designed retractors.
Conclusion
The innovative working space suspension system for gasless TOETVA provided enough and stable working space and optimized the clarity of the surgical field without CO
2
-related complications.</description><subject>Abdominal Surgery</subject><subject>Embolisms</subject><subject>Endoscopy</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypoparathyroidism - complications</subject><subject>Hypoparathyroidism - surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Natural Orifice Endoscopic Surgery - adverse effects</subject><subject>Original Article</subject><subject>Patients</subject><subject>Postoperative Complications - etiology</subject><subject>Proctology</subject><subject>Retrospective Studies</subject><subject>Suctioning</subject><subject>Surgery</subject><subject>Surgical apparatus & instruments</subject><subject>Thyroid cancer</subject><subject>Thyroid gland</subject><subject>Thyroid Neoplasms - surgery</subject><subject>Thyroidectomy</subject><subject>Thyroidectomy - adverse effects</subject><subject>Vocal Cord Paralysis - etiology</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kD1PwzAQhi0EoqXwBxhQJBaWwPkrjkeEKCBVsMBsuYlbUiVx8SWV8u9xaQGJgemGe973Tg8h5xSuKYC6QQCRiRQYS0FLlqf6gIyp4CxljOaHZAyaQ8qUFiNygriCyGsqj8mIZzTuMjom02e_cXWCPa5di5VvExywc02y8CFZWqwdYtIF26IPtk42Drtq3tc2JN37EHxVuqLzzXBKjha2Rne2nxPyNr1_vXtMZy8PT3e3s7TgSnYph7xQmZZFoawolZTWCQ4lSGCWOVWWmltuoYBybjMnMssWdi6BZyJXTjPgE3K1610H_9HHZ0xTYeHq2rbO92iYolLwXMotevkHXfk-tPG7SKlcRC1KR4rtqCJ4xOAWZh2qxobBUDBby2Zn2UTL5suy2YYu9tX9vHHlT-RbawT4DsC4apcu_N7-p_YTlXOH6Q</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Jiang, Jinxi</creator><creator>He, Gaofei</creator><creator>Chu, Junjie</creator><creator>Li, Jianbo</creator><creator>Lu, Xiaoxiao</creator><creator>Zhang, Deguang</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20230201</creationdate><title>Novel suspension system for gasless transoral vestibular thyroidectomy</title><author>Jiang, Jinxi ; He, Gaofei ; Chu, Junjie ; Li, Jianbo ; Lu, Xiaoxiao ; Zhang, Deguang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-308c7695cc7a4d755ae430d0502a2e7dd93a3a0c0dba6e46a2fab5036487e9203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdominal Surgery</topic><topic>Embolisms</topic><topic>Endoscopy</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hypoparathyroidism - complications</topic><topic>Hypoparathyroidism - surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Natural Orifice Endoscopic Surgery - adverse effects</topic><topic>Original Article</topic><topic>Patients</topic><topic>Postoperative Complications - etiology</topic><topic>Proctology</topic><topic>Retrospective Studies</topic><topic>Suctioning</topic><topic>Surgery</topic><topic>Surgical apparatus & instruments</topic><topic>Thyroid cancer</topic><topic>Thyroid gland</topic><topic>Thyroid Neoplasms - surgery</topic><topic>Thyroidectomy</topic><topic>Thyroidectomy - adverse effects</topic><topic>Vocal Cord Paralysis - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jiang, Jinxi</creatorcontrib><creatorcontrib>He, Gaofei</creatorcontrib><creatorcontrib>Chu, Junjie</creatorcontrib><creatorcontrib>Li, Jianbo</creatorcontrib><creatorcontrib>Lu, Xiaoxiao</creatorcontrib><creatorcontrib>Zhang, Deguang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jiang, Jinxi</au><au>He, Gaofei</au><au>Chu, Junjie</au><au>Li, Jianbo</au><au>Lu, Xiaoxiao</au><au>Zhang, Deguang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Novel suspension system for gasless transoral vestibular thyroidectomy</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>37</volume><issue>2</issue><spage>1070</spage><epage>1076</epage><pages>1070-1076</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
The transoral endoscopic thyroidectomy vestibular approach (TOETVA) is receiving increased attention, frequently due to growing requirements for cosmetic incisions. Here, we report our initial experience and discuss the safety and efficacy of the innovative surgical working space suspension system for gasless TOETVA.
Methods
We retrospectively analyzed 75 consecutive patients for whom gasless TOETVA with our novel working space suspension system was used. This suspension system included self-developed retractors, a sterile bandage, and an anesthesia stand. We also improved some main surgical instruments in gasless TOETVA.
Results
The study included 75 patients who successfully underwent thyroidectomy and central neck dissection via gasless TOETVA. The mean operating time was 143.27 ± 34.60 min. The mean number of retrieved lymph nodes was 8.00 ± 5.39. Conversion to open surgery did not occur, nor did patients exhibit serious postoperative complications. Postoperative complications included 4 cases of transient recurrent laryngeal nerve (RLN) palsy, 9 of transient hypoparathyroidism, and 3 of transient mental nerve injury. One patient with subcutaneous fluid after surgery recovered after aspiration. Another patient with submental minor perforation recovered well after suturing. There was no evidence of specific complications related to self-designed retractors.
Conclusion
The innovative working space suspension system for gasless TOETVA provided enough and stable working space and optimized the clarity of the surgical field without CO
2
-related complications.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>36109361</pmid><doi>10.1007/s00464-022-09528-9</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0930-2794 |
| ispartof | Surgical endoscopy, 2023-02, Vol.37 (2), p.1070-1076 |
| issn | 0930-2794 1432-2218 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2715438550 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Embolisms Endoscopy Gastroenterology Gynecology Hepatology Hospitals Humans Hypoparathyroidism - complications Hypoparathyroidism - surgery Medicine Medicine & Public Health Natural Orifice Endoscopic Surgery - adverse effects Original Article Patients Postoperative Complications - etiology Proctology Retrospective Studies Suctioning Surgery Surgical apparatus & instruments Thyroid cancer Thyroid gland Thyroid Neoplasms - surgery Thyroidectomy Thyroidectomy - adverse effects Vocal Cord Paralysis - etiology |
| title | Novel suspension system for gasless transoral vestibular thyroidectomy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-15T18%3A11%3A27IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Novel%20suspension%20system%20for%20gasless%20transoral%20vestibular%20thyroidectomy&rft.jtitle=Surgical%20endoscopy&rft.au=Jiang,%20Jinxi&rft.date=2023-02-01&rft.volume=37&rft.issue=2&rft.spage=1070&rft.epage=1076&rft.pages=1070-1076&rft.issn=0930-2794&rft.eissn=1432-2218&rft_id=info:doi/10.1007/s00464-022-09528-9&rft_dat=%3Cproquest_cross%3E2778479479%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2778479479&rft_id=info:pmid/36109361&rfr_iscdi=true |