Endoscopic neck surgery: current status for thyroid and parathyroid diseases
During the last 3 years, 59 patients underwent endoscopic neck surgery. We started the video-assisted neck surgery with the gasless skin-lifting method for benign thyroid and parathyroid diseases to avoid complications of carbon dioxide (CO2) insufflation. Hemithyroidectomy was performed for benign...
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| Veröffentlicht in: | Biomedicine & pharmacotherapy 2002, Vol.56, p.48s-52s |
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| container_title | Biomedicine & pharmacotherapy |
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| creator | OHSHIMA, Akira SIMIZU, Shuji OKIDO, Masayuki SHIMADA, Kazuo KUROKI, Syoji TANAKA, Masao |
| description | During the last 3 years, 59 patients underwent endoscopic neck surgery. We started the video-assisted neck surgery with the gasless skin-lifting method for benign thyroid and parathyroid diseases to avoid complications of carbon dioxide (CO2) insufflation. Hemithyroidectomy was performed for benign thyroid tumors and subtotal thyroidectomy was selected for Graves' disease. Parathyroid adenomas were extirpated for primary hyperparathyroidism with precise preoperative localization by imaging modalities. In order to obtain a better visual field and to improve the cosmetic results, we have adopted the complete endoscopic method via breast approach with low CO2 insufflation pressure since August 2001. An intraoperative parathormone assay was introduced recently to confirm the complete removal of parathyroid adenomas. Both gasless and insufflation methods are feasible for endoscopic neck surgery with excellent cosmetic results. |
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We started the video-assisted neck surgery with the gasless skin-lifting method for benign thyroid and parathyroid diseases to avoid complications of carbon dioxide (CO2) insufflation. Hemithyroidectomy was performed for benign thyroid tumors and subtotal thyroidectomy was selected for Graves' disease. Parathyroid adenomas were extirpated for primary hyperparathyroidism with precise preoperative localization by imaging modalities. In order to obtain a better visual field and to improve the cosmetic results, we have adopted the complete endoscopic method via breast approach with low CO2 insufflation pressure since August 2001. An intraoperative parathormone assay was introduced recently to confirm the complete removal of parathyroid adenomas. 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We started the video-assisted neck surgery with the gasless skin-lifting method for benign thyroid and parathyroid diseases to avoid complications of carbon dioxide (CO2) insufflation. Hemithyroidectomy was performed for benign thyroid tumors and subtotal thyroidectomy was selected for Graves' disease. Parathyroid adenomas were extirpated for primary hyperparathyroidism with precise preoperative localization by imaging modalities. In order to obtain a better visual field and to improve the cosmetic results, we have adopted the complete endoscopic method via breast approach with low CO2 insufflation pressure since August 2001. An intraoperative parathormone assay was introduced recently to confirm the complete removal of parathyroid adenomas. Both gasless and insufflation methods are feasible for endoscopic neck surgery with excellent cosmetic results.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>Endoscopy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neck - pathology</subject><subject>Neck - surgery</subject><subject>Parathyroid Diseases - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Graft diseases</topic><topic>Surgery of endocrine glands</topic><topic>Thyroid Diseases - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>OHSHIMA, Akira</creatorcontrib><creatorcontrib>SIMIZU, Shuji</creatorcontrib><creatorcontrib>OKIDO, Masayuki</creatorcontrib><creatorcontrib>SHIMADA, Kazuo</creatorcontrib><creatorcontrib>KUROKI, Syoji</creatorcontrib><creatorcontrib>TANAKA, Masao</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Biomedicine & pharmacotherapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>OHSHIMA, Akira</au><au>SIMIZU, Shuji</au><au>OKIDO, Masayuki</au><au>SHIMADA, Kazuo</au><au>KUROKI, Syoji</au><au>TANAKA, Masao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic neck surgery: current status for thyroid and parathyroid diseases</atitle><jtitle>Biomedicine & pharmacotherapy</jtitle><addtitle>Biomed Pharmacother</addtitle><date>2002</date><risdate>2002</risdate><volume>56</volume><spage>48s</spage><epage>52s</epage><pages>48s-52s</pages><issn>0753-3322</issn><eissn>1950-6007</eissn><coden>BIPHEX</coden><abstract>During the last 3 years, 59 patients underwent endoscopic neck surgery. 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| ispartof | Biomedicine & pharmacotherapy, 2002, Vol.56, p.48s-52s |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Aged Analysis of Variance Biological and medical sciences Endoscopy - methods Female Humans Male Medical sciences Middle Aged Neck - pathology Neck - surgery Parathyroid Diseases - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of endocrine glands Thyroid Diseases - surgery |
| title | Endoscopic neck surgery: current status for thyroid and parathyroid diseases |
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