Clinical Implementation of Endoscopic Thyroidectomy in Selected Patients
Objectives: Systematic investigation of minimal access thyroid compartment surgery combined with the advent of several key new technologies has culminated in the implementation of endoscopic thyroidectomy in specific clinical situations. Study Design: The authors conducted a prospective, nonrandomiz...
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| Veröffentlicht in: | The Laryngoscope 2006-10, Vol.116 (10), p.1745-1748 |
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| creator | Terris, David J. Chin, Edward |
| description | Objectives: Systematic investigation of minimal access thyroid compartment surgery combined with the advent of several key new technologies has culminated in the implementation of endoscopic thyroidectomy in specific clinical situations.
Study Design: The authors conducted a prospective, nonrandomized analysis of a consecutive cohort of surgical patients from the Medical College of Georgia Thyroid Center.
Methods and Materials: A series of patients meeting specific criteria underwent thyroid surgery with the intention of performing endoscopic thyroidectomy. Demographic and clinical data were prospectively collected and included age, gender, indications for surgery, length of incision, need for conversion, and pathology.
Results. Thirty‐five patients successfully underwent 36 endoscopic thyroidectomies between February 2005 and March 2006 (representing 28.8% of the 125 thyroidectomies done during that period of time). There were 32 females and three males with a mean age of 45.3 ± 13.9 years. There were five total thyroidectomies and 31 hemithyroidectomies. The mean incision length was 24.2 ± 0.5 mm. There were no cases of permanent hypocalcemia or recurrent laryngeal nerve paralysis. Factors that increased the difficulty of endoscopic surgery included obesity, the presence of thyroiditis, and nodules >2.5 cm.
Conclusions: The combination of new technology and careful experimental investigation has spawned a new era of thyroidectomy in which definitive management of thyroid pathology may be accomplished through an incision of |
| doi_str_mv | 10.1097/01.mlg.0000233243.28872.26 |
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Study Design: The authors conducted a prospective, nonrandomized analysis of a consecutive cohort of surgical patients from the Medical College of Georgia Thyroid Center.
Methods and Materials: A series of patients meeting specific criteria underwent thyroid surgery with the intention of performing endoscopic thyroidectomy. Demographic and clinical data were prospectively collected and included age, gender, indications for surgery, length of incision, need for conversion, and pathology.
Results. Thirty‐five patients successfully underwent 36 endoscopic thyroidectomies between February 2005 and March 2006 (representing 28.8% of the 125 thyroidectomies done during that period of time). There were 32 females and three males with a mean age of 45.3 ± 13.9 years. There were five total thyroidectomies and 31 hemithyroidectomies. The mean incision length was 24.2 ± 0.5 mm. There were no cases of permanent hypocalcemia or recurrent laryngeal nerve paralysis. Factors that increased the difficulty of endoscopic surgery included obesity, the presence of thyroiditis, and nodules >2.5 cm.
Conclusions: The combination of new technology and careful experimental investigation has spawned a new era of thyroidectomy in which definitive management of thyroid pathology may be accomplished through an incision of <1 inch. This approach is feasible in the hands of surgeons with high‐volume thyroidectomy practices who are comfortable with endoscopic principles. The cosmetic advantages are self‐evident.</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1097/01.mlg.0000233243.28872.26</identifier><identifier>PMID: 17003721</identifier><identifier>CODEN: LARYA8</identifier><language>eng</language><publisher>Hoboken, NJ: John Wiley & Sons, Inc</publisher><subject>Adenoma - surgery ; Biological and medical sciences ; Carcinoma, Papillary - surgery ; Cohort Studies ; endoscopic ; Endoscopy - methods ; Esthetics ; Feasibility Studies ; Female ; Goiter, Nodular - surgery ; Humans ; Hypocalcemia - prevention & control ; Male ; Medical sciences ; Middle Aged ; minimally invasive surgery ; Minimally Invasive Surgical Procedures ; Neck - surgery ; Obesity - complications ; Otorhinolaryngology. Stomatology ; Patient Selection ; Postoperative Complications - prevention & control ; Prospective Studies ; Recurrent Laryngeal Nerve ; Thyroid Neoplasms - surgery ; Thyroid Nodule - surgery ; thyroid surgery ; Thyroidectomy ; Thyroidectomy - methods ; Thyroiditis - complications ; Vocal Cord Paralysis - prevention & control</subject><ispartof>The Laryngoscope, 2006-10, Vol.116 (10), p.1745-1748</ispartof><rights>Copyright © 2006 The Triological Society</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5005-8e4437edaf07746194517c09be7dccc1a6d153233ac994d9275e330b95a41a9f3</citedby><cites>FETCH-LOGICAL-c5005-8e4437edaf07746194517c09be7dccc1a6d153233ac994d9275e330b95a41a9f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1097%2F01.mlg.0000233243.28872.26$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1097%2F01.mlg.0000233243.28872.26$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,1411,23910,23911,25119,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18189716$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17003721$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Terris, David J.</creatorcontrib><creatorcontrib>Chin, Edward</creatorcontrib><title>Clinical Implementation of Endoscopic Thyroidectomy in Selected Patients</title><title>The Laryngoscope</title><addtitle>The Laryngoscope</addtitle><description>Objectives: Systematic investigation of minimal access thyroid compartment surgery combined with the advent of several key new technologies has culminated in the implementation of endoscopic thyroidectomy in specific clinical situations.
Study Design: The authors conducted a prospective, nonrandomized analysis of a consecutive cohort of surgical patients from the Medical College of Georgia Thyroid Center.
Methods and Materials: A series of patients meeting specific criteria underwent thyroid surgery with the intention of performing endoscopic thyroidectomy. Demographic and clinical data were prospectively collected and included age, gender, indications for surgery, length of incision, need for conversion, and pathology.
Results. Thirty‐five patients successfully underwent 36 endoscopic thyroidectomies between February 2005 and March 2006 (representing 28.8% of the 125 thyroidectomies done during that period of time). There were 32 females and three males with a mean age of 45.3 ± 13.9 years. There were five total thyroidectomies and 31 hemithyroidectomies. The mean incision length was 24.2 ± 0.5 mm. There were no cases of permanent hypocalcemia or recurrent laryngeal nerve paralysis. Factors that increased the difficulty of endoscopic surgery included obesity, the presence of thyroiditis, and nodules >2.5 cm.
Conclusions: The combination of new technology and careful experimental investigation has spawned a new era of thyroidectomy in which definitive management of thyroid pathology may be accomplished through an incision of <1 inch. This approach is feasible in the hands of surgeons with high‐volume thyroidectomy practices who are comfortable with endoscopic principles. The cosmetic advantages are self‐evident.</description><subject>Adenoma - surgery</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Papillary - surgery</subject><subject>Cohort Studies</subject><subject>endoscopic</subject><subject>Endoscopy - methods</subject><subject>Esthetics</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Goiter, Nodular - surgery</subject><subject>Humans</subject><subject>Hypocalcemia - prevention & control</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>minimally invasive surgery</subject><subject>Minimally Invasive Surgical Procedures</subject><subject>Neck - surgery</subject><subject>Obesity - complications</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Patient Selection</subject><subject>Postoperative Complications - prevention & control</subject><subject>Prospective Studies</subject><subject>Recurrent Laryngeal Nerve</subject><subject>Thyroid Neoplasms - surgery</subject><subject>Thyroid Nodule - surgery</subject><subject>thyroid surgery</subject><subject>Thyroidectomy</subject><subject>Thyroidectomy - methods</subject><subject>Thyroiditis - complications</subject><subject>Vocal Cord Paralysis - prevention & control</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkF1v0zAUhi0EYmXwF1CEBHfJfPwR29xN3acUbWMUAVeW6zhgcOISp2L993PXil7jG8vy8772eRB6B7gCrMQJhqoPPyqcF6GUMFoRKQWpSP0MzYBTKJlS_Dmabe9Lycm3I_QqpV8Yg6Acv0RHIDCmgsAMXc2DH7w1objuV8H1bpjM5ONQxK44H9qYbFx5Wyx-bsboW2en2G8KPxSfXcgH1xZ3Gc-h9Bq96ExI7s1-P0ZfLs4X86uyub28np82peUY81I6xqhwremwEKwGxTgIi9XSidZaC6Zu8wR5LGOVYq0igjtK8VJxw8Cojh6jD7ve1Rj_rF2adO-TdSGYwcV10rXMGSxlBj_uQDvGlEbX6dXoezNuNGC99agx6OxRHzzqJ4-a1Dn8dv_Ketm79hDdi8vA-z1gUrbXjWawPh04CVIJ2BZd7Li_PrjNf3xBN6f33zlnADVkcbmo3BX5NLmHf0Vm_K1rQQXXX28udXPzqVncnwnN6SPrAp8x</recordid><startdate>200610</startdate><enddate>200610</enddate><creator>Terris, David J.</creator><creator>Chin, Edward</creator><general>John Wiley & Sons, Inc</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><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>7X8</scope><scope>8BM</scope></search><sort><creationdate>200610</creationdate><title>Clinical Implementation of Endoscopic Thyroidectomy in Selected Patients</title><author>Terris, David J. ; Chin, Edward</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5005-8e4437edaf07746194517c09be7dccc1a6d153233ac994d9275e330b95a41a9f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adenoma - surgery</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Papillary - surgery</topic><topic>Cohort Studies</topic><topic>endoscopic</topic><topic>Endoscopy - methods</topic><topic>Esthetics</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Goiter, Nodular - surgery</topic><topic>Humans</topic><topic>Hypocalcemia - prevention & control</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>minimally invasive surgery</topic><topic>Minimally Invasive Surgical Procedures</topic><topic>Neck - surgery</topic><topic>Obesity - complications</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Patient Selection</topic><topic>Postoperative Complications - prevention & control</topic><topic>Prospective Studies</topic><topic>Recurrent Laryngeal Nerve</topic><topic>Thyroid Neoplasms - surgery</topic><topic>Thyroid Nodule - surgery</topic><topic>thyroid surgery</topic><topic>Thyroidectomy</topic><topic>Thyroidectomy - methods</topic><topic>Thyroiditis - complications</topic><topic>Vocal Cord Paralysis - prevention & control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Terris, David J.</creatorcontrib><creatorcontrib>Chin, Edward</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Terris, David J.</au><au>Chin, Edward</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Implementation of Endoscopic Thyroidectomy in Selected Patients</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>2006-10</date><risdate>2006</risdate><volume>116</volume><issue>10</issue><spage>1745</spage><epage>1748</epage><pages>1745-1748</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>Objectives: Systematic investigation of minimal access thyroid compartment surgery combined with the advent of several key new technologies has culminated in the implementation of endoscopic thyroidectomy in specific clinical situations.
Study Design: The authors conducted a prospective, nonrandomized analysis of a consecutive cohort of surgical patients from the Medical College of Georgia Thyroid Center.
Methods and Materials: A series of patients meeting specific criteria underwent thyroid surgery with the intention of performing endoscopic thyroidectomy. Demographic and clinical data were prospectively collected and included age, gender, indications for surgery, length of incision, need for conversion, and pathology.
Results. Thirty‐five patients successfully underwent 36 endoscopic thyroidectomies between February 2005 and March 2006 (representing 28.8% of the 125 thyroidectomies done during that period of time). There were 32 females and three males with a mean age of 45.3 ± 13.9 years. There were five total thyroidectomies and 31 hemithyroidectomies. The mean incision length was 24.2 ± 0.5 mm. There were no cases of permanent hypocalcemia or recurrent laryngeal nerve paralysis. Factors that increased the difficulty of endoscopic surgery included obesity, the presence of thyroiditis, and nodules >2.5 cm.
Conclusions: The combination of new technology and careful experimental investigation has spawned a new era of thyroidectomy in which definitive management of thyroid pathology may be accomplished through an incision of <1 inch. This approach is feasible in the hands of surgeons with high‐volume thyroidectomy practices who are comfortable with endoscopic principles. The cosmetic advantages are self‐evident.</abstract><cop>Hoboken, NJ</cop><pub>John Wiley & Sons, Inc</pub><pmid>17003721</pmid><doi>10.1097/01.mlg.0000233243.28872.26</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adenoma - surgery Biological and medical sciences Carcinoma, Papillary - surgery Cohort Studies endoscopic Endoscopy - methods Esthetics Feasibility Studies Female Goiter, Nodular - surgery Humans Hypocalcemia - prevention & control Male Medical sciences Middle Aged minimally invasive surgery Minimally Invasive Surgical Procedures Neck - surgery Obesity - complications Otorhinolaryngology. Stomatology Patient Selection Postoperative Complications - prevention & control Prospective Studies Recurrent Laryngeal Nerve Thyroid Neoplasms - surgery Thyroid Nodule - surgery thyroid surgery Thyroidectomy Thyroidectomy - methods Thyroiditis - complications Vocal Cord Paralysis - prevention & control |
| title | Clinical Implementation of Endoscopic Thyroidectomy in Selected Patients |
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