Lateral Route Endoscopic Thyroidectomy with gas Insufflation: Proposed Critical View of Safety
Background The extra-cervical lateral route endoscopic thyroidectomy (LRET) approaches such as the trans-axillary, breast and axillo-breast approaches are proved to be safe, feasible, esthetic, highly effective. The inherent difficulty and long learning curve of these techniques prevents its widespr...
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| Veröffentlicht in: | World journal of surgery 2023-07, Vol.47 (7), p.1738-1743 |
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| container_title | World journal of surgery |
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| creator | Elzahaby, Islam A. Hamdy, Mohamed Abdallah, Ahmed |
| description | Background
The extra-cervical lateral route endoscopic thyroidectomy (LRET) approaches such as the trans-axillary, breast and axillo-breast approaches are proved to be safe, feasible, esthetic, highly effective. The inherent difficulty and long learning curve of these techniques prevents its widespread application.
Methods
Benefiting from the experience of more than 5 years in LRET approaches with CO
2
insufflation, the authors developed ten surgical key steps and a critical view of safety (CVS) for performing thyroid lobectomy via LRET approaches. A detailed description and a video of the surgical technique is provided.
Results
Application of these structured key steps and CVS was feasible and effective in achieving thyroid lobectomy in all selected cases with unilateral goiter up to 8 cm, even in cases with thyroiditis or controlled toxic adenoma, without any adverse events and with shorter operative time than the non-structured surgical technique.
Conclusion
The described ten key steps and CVS are conclusive, applicable, easy to learn. Our video could act as a guide for promoting the standardized, safe, and wide application of LRET techniques. |
| doi_str_mv | 10.1007/s00268-023-06977-8 |
| format | Article |
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The extra-cervical lateral route endoscopic thyroidectomy (LRET) approaches such as the trans-axillary, breast and axillo-breast approaches are proved to be safe, feasible, esthetic, highly effective. The inherent difficulty and long learning curve of these techniques prevents its widespread application.
Methods
Benefiting from the experience of more than 5 years in LRET approaches with CO
2
insufflation, the authors developed ten surgical key steps and a critical view of safety (CVS) for performing thyroid lobectomy via LRET approaches. A detailed description and a video of the surgical technique is provided.
Results
Application of these structured key steps and CVS was feasible and effective in achieving thyroid lobectomy in all selected cases with unilateral goiter up to 8 cm, even in cases with thyroiditis or controlled toxic adenoma, without any adverse events and with shorter operative time than the non-structured surgical technique.
Conclusion
The described ten key steps and CVS are conclusive, applicable, easy to learn. Our video could act as a guide for promoting the standardized, safe, and wide application of LRET techniques.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-023-06977-8</identifier><identifier>PMID: 36971788</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Breast ; Carbon dioxide ; Cardiac Surgery ; Endoscopy ; Endoscopy - methods ; General Surgery ; Goiter ; Humans ; Innovative Surgical Techniques Around the World ; Insufflation ; Learning Curve ; Learning curves ; Medicine ; Medicine & Public Health ; Safety ; Surgery ; Surgical techniques ; Thoracic Surgery ; Thyroid ; Thyroid gland ; Thyroid Neoplasms - etiology ; Thyroid Neoplasms - surgery ; Thyroidectomy ; Thyroidectomy - adverse effects ; Thyroidectomy - methods ; Thyroiditis ; Vascular Surgery</subject><ispartof>World journal of surgery, 2023-07, Vol.47 (7), p.1738-1743</ispartof><rights>The Author(s) 2023</rights><rights>2023 The Author(s)</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5265-7fb9eaa478cedd26302d9adc272b5605c8fdcd10e25d7314ea6fb408e8506bc53</citedby><cites>FETCH-LOGICAL-c5265-7fb9eaa478cedd26302d9adc272b5605c8fdcd10e25d7314ea6fb408e8506bc53</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/s00268-023-06977-8$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-023-06977-8$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,41464,42533,45550,45551,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36971788$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Elzahaby, Islam A.</creatorcontrib><creatorcontrib>Hamdy, Mohamed</creatorcontrib><creatorcontrib>Abdallah, Ahmed</creatorcontrib><title>Lateral Route Endoscopic Thyroidectomy with gas Insufflation: Proposed Critical View of Safety</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Background
The extra-cervical lateral route endoscopic thyroidectomy (LRET) approaches such as the trans-axillary, breast and axillo-breast approaches are proved to be safe, feasible, esthetic, highly effective. The inherent difficulty and long learning curve of these techniques prevents its widespread application.
Methods
Benefiting from the experience of more than 5 years in LRET approaches with CO
2
insufflation, the authors developed ten surgical key steps and a critical view of safety (CVS) for performing thyroid lobectomy via LRET approaches. A detailed description and a video of the surgical technique is provided.
Results
Application of these structured key steps and CVS was feasible and effective in achieving thyroid lobectomy in all selected cases with unilateral goiter up to 8 cm, even in cases with thyroiditis or controlled toxic adenoma, without any adverse events and with shorter operative time than the non-structured surgical technique.
Conclusion
The described ten key steps and CVS are conclusive, applicable, easy to learn. Our video could act as a guide for promoting the standardized, safe, and wide application of LRET techniques.</description><subject>Abdominal Surgery</subject><subject>Breast</subject><subject>Carbon dioxide</subject><subject>Cardiac Surgery</subject><subject>Endoscopy</subject><subject>Endoscopy - methods</subject><subject>General Surgery</subject><subject>Goiter</subject><subject>Humans</subject><subject>Innovative Surgical Techniques Around the World</subject><subject>Insufflation</subject><subject>Learning Curve</subject><subject>Learning curves</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Safety</subject><subject>Surgery</subject><subject>Surgical techniques</subject><subject>Thoracic Surgery</subject><subject>Thyroid</subject><subject>Thyroid gland</subject><subject>Thyroid Neoplasms - etiology</subject><subject>Thyroid Neoplasms - surgery</subject><subject>Thyroidectomy</subject><subject>Thyroidectomy - adverse effects</subject><subject>Thyroidectomy - methods</subject><subject>Thyroiditis</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>24P</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkc1u1DAUhS0EokPhBVggS2zYBK7txHa6QTBqS9FIIFpgh-XYzoyrTDzYCaO8fd2mlJ8FYuUr-TtH99yD0FMCLwmAeJUAKJcFUFYAr4Uo5D20ICWjBWWU3UcLYLzMM2EH6FFKlwBEcOAP0QHLOBFSLtC3lR5c1B3-FMbB4ePehmTCzht8sZli8NaZIWwnvPfDBq91wmd9Gtu204MP_RH-GMMuJGfxMvrBm-zzxbs9Di0-160bpsfoQau75J7cvofo88nxxfJdsfpwerZ8sypMRXlViLapndalkMZZSzkDamttDRW0qThURrbWWAKOVlYwUjrN26YE6WQFvDEVO0SvZ9_d2GydNa4fcii1i36r46SC9urPn95v1Dr8UAQozbeg2eHFrUMM30eXBrX1ybiu070LY1JU1ERAXd-gz_9CL8MY-5xPUUlBkloAzxSdKRNDStG1d9sQUNf9qbk_lftTN_0pmUXPfs9xJ_lZWAaOZmDvOzf9h6X6-v787QmQWl5fic3ilHX92sVfi_9jpysThri9</recordid><startdate>202307</startdate><enddate>202307</enddate><creator>Elzahaby, Islam A.</creator><creator>Hamdy, Mohamed</creator><creator>Abdallah, Ahmed</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>24P</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>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202307</creationdate><title>Lateral Route Endoscopic Thyroidectomy with gas Insufflation: Proposed Critical View of Safety</title><author>Elzahaby, Islam A. ; Hamdy, Mohamed ; Abdallah, Ahmed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5265-7fb9eaa478cedd26302d9adc272b5605c8fdcd10e25d7314ea6fb408e8506bc53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdominal Surgery</topic><topic>Breast</topic><topic>Carbon dioxide</topic><topic>Cardiac Surgery</topic><topic>Endoscopy</topic><topic>Endoscopy - methods</topic><topic>General Surgery</topic><topic>Goiter</topic><topic>Humans</topic><topic>Innovative Surgical Techniques Around the World</topic><topic>Insufflation</topic><topic>Learning Curve</topic><topic>Learning curves</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Safety</topic><topic>Surgery</topic><topic>Surgical techniques</topic><topic>Thoracic Surgery</topic><topic>Thyroid</topic><topic>Thyroid gland</topic><topic>Thyroid Neoplasms - etiology</topic><topic>Thyroid Neoplasms - surgery</topic><topic>Thyroidectomy</topic><topic>Thyroidectomy - adverse effects</topic><topic>Thyroidectomy - methods</topic><topic>Thyroiditis</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Elzahaby, Islam A.</creatorcontrib><creatorcontrib>Hamdy, Mohamed</creatorcontrib><creatorcontrib>Abdallah, Ahmed</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Wiley-Blackwell Open Access Titles</collection><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>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</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>Technology Research Database</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>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Elzahaby, Islam A.</au><au>Hamdy, Mohamed</au><au>Abdallah, Ahmed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lateral Route Endoscopic Thyroidectomy with gas Insufflation: Proposed Critical View of Safety</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2023-07</date><risdate>2023</risdate><volume>47</volume><issue>7</issue><spage>1738</spage><epage>1743</epage><pages>1738-1743</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><abstract>Background
The extra-cervical lateral route endoscopic thyroidectomy (LRET) approaches such as the trans-axillary, breast and axillo-breast approaches are proved to be safe, feasible, esthetic, highly effective. The inherent difficulty and long learning curve of these techniques prevents its widespread application.
Methods
Benefiting from the experience of more than 5 years in LRET approaches with CO
2
insufflation, the authors developed ten surgical key steps and a critical view of safety (CVS) for performing thyroid lobectomy via LRET approaches. A detailed description and a video of the surgical technique is provided.
Results
Application of these structured key steps and CVS was feasible and effective in achieving thyroid lobectomy in all selected cases with unilateral goiter up to 8 cm, even in cases with thyroiditis or controlled toxic adenoma, without any adverse events and with shorter operative time than the non-structured surgical technique.
Conclusion
The described ten key steps and CVS are conclusive, applicable, easy to learn. Our video could act as a guide for promoting the standardized, safe, and wide application of LRET techniques.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>36971788</pmid><doi>10.1007/s00268-023-06977-8</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | World journal of surgery, 2023-07, Vol.47 (7), p.1738-1743 |
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| source | MEDLINE; Springer Nature - Complete Springer Journals; Wiley Online Library Journals Frontfile Complete |
| subjects | Abdominal Surgery Breast Carbon dioxide Cardiac Surgery Endoscopy Endoscopy - methods General Surgery Goiter Humans Innovative Surgical Techniques Around the World Insufflation Learning Curve Learning curves Medicine Medicine & Public Health Safety Surgery Surgical techniques Thoracic Surgery Thyroid Thyroid gland Thyroid Neoplasms - etiology Thyroid Neoplasms - surgery Thyroidectomy Thyroidectomy - adverse effects Thyroidectomy - methods Thyroiditis Vascular Surgery |
| title | Lateral Route Endoscopic Thyroidectomy with gas Insufflation: Proposed Critical View of Safety |
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