The impact of gasless insufflation transaxillary endoscopic thyroidectomy on the parathyroid gland injury in patients with thyroid cancer: a retrospective analysis

The impact of gasless insufflation transaxillary endoscopic thyroidectomy on the parathyroid gland injury in patients with thyroid cancer: a retrospective analysis

Recently, endoscope has been widely used in thyroid surgery and gasless insufflation transaxillary endoscopic thyroidectomy (GTET) has been the mainstay of thyroid surgery. Parathyroid gland (PG) damage is a common complication of thyroid surgery. Therefore, the aim of this study was to investigate...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Gland surgery 2024-10, Vol.13 (10), p.1729-1739
Hauptverfasser: Hong, Yiyan, Zhan, Hongliang, Zhang, Longying, Huang, Kunzhai, Zheng, Miaomiao, Zhang, Fuxing
Format: Artikel
Sprache:eng
Schlagworte:
Original
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1739
container_issue 10
container_start_page 1729
container_title Gland surgery
container_volume 13
creator Hong, Yiyan
Zhan, Hongliang
Zhang, Longying
Huang, Kunzhai
Zheng, Miaomiao
Zhang, Fuxing
description Recently, endoscope has been widely used in thyroid surgery and gasless insufflation transaxillary endoscopic thyroidectomy (GTET) has been the mainstay of thyroid surgery. Parathyroid gland (PG) damage is a common complication of thyroid surgery. Therefore, the aim of this study was to investigate the effect of GTET on hypoparathyroidism (HPT) in patients with thyroid cancer. According to the surgical approach, the patients were divided into a GTET group and a conventional open thyroidectomy (COT) group. Univariate analysis and logistic regression were used to identify factors associated with PG injury. The odds ratio (OR) and 95% confidence interval (CI) for each independent variable were calculated. A retrospective analysis was conducted on 405 patients diagnosed with papillary thyroid cancer (PTC). A total of 51 patients experienced PG injury, including 7 cases (5%) of GTET group and 44 cases (16.5%) of COT group (P
doi_str_mv 10.21037/gs-24-234
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11558299</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3128827102</sourcerecordid><originalsourceid>FETCH-LOGICAL-c268t-bc7327b69c019d369a147fd8cfd28ac05ef0e0aba2926c7592a7bb6da2f6cd8d3</originalsourceid><addsrcrecordid>eNpVkc1u1TAQhSMEolXphgdAXiKkgD35c9ggVPEnVeqmldhZE9vJdZXYweO03OfhRTHtbUVXHumc-TwzpyheC_4eBK-6DxOVUJdQ1c-KYwDoStl0zfND3cr651FxSnTNORcV1G0LL4ujqm_qupfNcfHncmeZW1bUiYWRTUizJWLO0zaOMyYXPEsRPeFvN88Y98x6E0iH1WmWdvsYnLE6hWXP_jkzbMWIB4FNM3qTYddbbnQ-a8lZn4jdurR7aGcavbbxI0MWbYqB1gx0N5ahx3lPjl4VL0acyZ4e3pPi6uuXy7Pv5fnFtx9nn89LDa1M5aC7Crqh7TUXvanaHkXdjUbq0YBEzRs7cstxQOih1V3TA3bD0BqEsdVGmuqk-HTPXbdhsUbnSSPOao1uyYurgE49VbzbqSncKCGaRkLfZ8LbAyGGX5ulpBZH2ubDeRs2UpUAKaETHLL13b1V540p2vHxH8HVXbJqIgW1yslm85v_J3u0PuRY_QVIfaXp</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3128827102</pqid></control><display><type>article</type><title>The impact of gasless insufflation transaxillary endoscopic thyroidectomy on the parathyroid gland injury in patients with thyroid cancer: a retrospective analysis</title><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Hong, Yiyan ; Zhan, Hongliang ; Zhang, Longying ; Huang, Kunzhai ; Zheng, Miaomiao ; Zhang, Fuxing</creator><creatorcontrib>Hong, Yiyan ; Zhan, Hongliang ; Zhang, Longying ; Huang, Kunzhai ; Zheng, Miaomiao ; Zhang, Fuxing</creatorcontrib><description>Recently, endoscope has been widely used in thyroid surgery and gasless insufflation transaxillary endoscopic thyroidectomy (GTET) has been the mainstay of thyroid surgery. Parathyroid gland (PG) damage is a common complication of thyroid surgery. Therefore, the aim of this study was to investigate the effect of GTET on hypoparathyroidism (HPT) in patients with thyroid cancer. According to the surgical approach, the patients were divided into a GTET group and a conventional open thyroidectomy (COT) group. Univariate analysis and logistic regression were used to identify factors associated with PG injury. The odds ratio (OR) and 95% confidence interval (CI) for each independent variable were calculated. A retrospective analysis was conducted on 405 patients diagnosed with papillary thyroid cancer (PTC). A total of 51 patients experienced PG injury, including 7 cases (5%) of GTET group and 44 cases (16.5%) of COT group (P&lt;0.001). Among them, the incidence of GTET group injury with one PG was 50.4%, two were 2.9%, and COT group were 59.8% and 7.9%, respectively (P=0.006). Univariate and multivariate analysis revealed that GTET was a protective factor for PG injury (OR, 0.251; 95% CI, 0.110-0.576; P=0.001), while Hashimoto's thyroiditis (HT) was identified as a risk factor for PG injury (OR, 2.722; 95% CI, 1.114-6.654; P=0.02). GTET reduces the incidence of PG injury and nerve injury, when PTC is combined with HT, it increases the risk of PG injury.</description><identifier>ISSN: 2227-684X</identifier><identifier>EISSN: 2227-8575</identifier><identifier>DOI: 10.21037/gs-24-234</identifier><identifier>PMID: 39544985</identifier><language>eng</language><publisher>China (Republic : 1949- ): AME Publishing Company</publisher><subject>Original</subject><ispartof>Gland surgery, 2024-10, Vol.13 (10), p.1729-1739</ispartof><rights>2024 AME Publishing Company. All rights reserved.</rights><rights>2024 AME Publishing Company. All rights reserved. 2024 AME Publishing Company.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0002-4712-1155 ; 0000-0002-3751-0210 ; 0009-0006-4092-6053 ; 0009-0007-4405-2928 ; 0000-0002-2102-1594 ; 0009-0000-0264-7498</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11558299/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11558299/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39544985$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hong, Yiyan</creatorcontrib><creatorcontrib>Zhan, Hongliang</creatorcontrib><creatorcontrib>Zhang, Longying</creatorcontrib><creatorcontrib>Huang, Kunzhai</creatorcontrib><creatorcontrib>Zheng, Miaomiao</creatorcontrib><creatorcontrib>Zhang, Fuxing</creatorcontrib><title>The impact of gasless insufflation transaxillary endoscopic thyroidectomy on the parathyroid gland injury in patients with thyroid cancer: a retrospective analysis</title><title>Gland surgery</title><addtitle>Gland Surg</addtitle><description>Recently, endoscope has been widely used in thyroid surgery and gasless insufflation transaxillary endoscopic thyroidectomy (GTET) has been the mainstay of thyroid surgery. Parathyroid gland (PG) damage is a common complication of thyroid surgery. Therefore, the aim of this study was to investigate the effect of GTET on hypoparathyroidism (HPT) in patients with thyroid cancer. According to the surgical approach, the patients were divided into a GTET group and a conventional open thyroidectomy (COT) group. Univariate analysis and logistic regression were used to identify factors associated with PG injury. The odds ratio (OR) and 95% confidence interval (CI) for each independent variable were calculated. A retrospective analysis was conducted on 405 patients diagnosed with papillary thyroid cancer (PTC). A total of 51 patients experienced PG injury, including 7 cases (5%) of GTET group and 44 cases (16.5%) of COT group (P&lt;0.001). Among them, the incidence of GTET group injury with one PG was 50.4%, two were 2.9%, and COT group were 59.8% and 7.9%, respectively (P=0.006). Univariate and multivariate analysis revealed that GTET was a protective factor for PG injury (OR, 0.251; 95% CI, 0.110-0.576; P=0.001), while Hashimoto's thyroiditis (HT) was identified as a risk factor for PG injury (OR, 2.722; 95% CI, 1.114-6.654; P=0.02). GTET reduces the incidence of PG injury and nerve injury, when PTC is combined with HT, it increases the risk of PG injury.</description><subject>Original</subject><issn>2227-684X</issn><issn>2227-8575</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNpVkc1u1TAQhSMEolXphgdAXiKkgD35c9ggVPEnVeqmldhZE9vJdZXYweO03OfhRTHtbUVXHumc-TwzpyheC_4eBK-6DxOVUJdQ1c-KYwDoStl0zfND3cr651FxSnTNORcV1G0LL4ujqm_qupfNcfHncmeZW1bUiYWRTUizJWLO0zaOMyYXPEsRPeFvN88Y98x6E0iH1WmWdvsYnLE6hWXP_jkzbMWIB4FNM3qTYddbbnQ-a8lZn4jdurR7aGcavbbxI0MWbYqB1gx0N5ahx3lPjl4VL0acyZ4e3pPi6uuXy7Pv5fnFtx9nn89LDa1M5aC7Crqh7TUXvanaHkXdjUbq0YBEzRs7cstxQOih1V3TA3bD0BqEsdVGmuqk-HTPXbdhsUbnSSPOao1uyYurgE49VbzbqSncKCGaRkLfZ8LbAyGGX5ulpBZH2ubDeRs2UpUAKaETHLL13b1V540p2vHxH8HVXbJqIgW1yslm85v_J3u0PuRY_QVIfaXp</recordid><startdate>20241031</startdate><enddate>20241031</enddate><creator>Hong, Yiyan</creator><creator>Zhan, Hongliang</creator><creator>Zhang, Longying</creator><creator>Huang, Kunzhai</creator><creator>Zheng, Miaomiao</creator><creator>Zhang, Fuxing</creator><general>AME Publishing Company</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4712-1155</orcidid><orcidid>https://orcid.org/0000-0002-3751-0210</orcidid><orcidid>https://orcid.org/0009-0006-4092-6053</orcidid><orcidid>https://orcid.org/0009-0007-4405-2928</orcidid><orcidid>https://orcid.org/0000-0002-2102-1594</orcidid><orcidid>https://orcid.org/0009-0000-0264-7498</orcidid></search><sort><creationdate>20241031</creationdate><title>The impact of gasless insufflation transaxillary endoscopic thyroidectomy on the parathyroid gland injury in patients with thyroid cancer: a retrospective analysis</title><author>Hong, Yiyan ; Zhan, Hongliang ; Zhang, Longying ; Huang, Kunzhai ; Zheng, Miaomiao ; Zhang, Fuxing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c268t-bc7327b69c019d369a147fd8cfd28ac05ef0e0aba2926c7592a7bb6da2f6cd8d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Original</topic><toplevel>online_resources</toplevel><creatorcontrib>Hong, Yiyan</creatorcontrib><creatorcontrib>Zhan, Hongliang</creatorcontrib><creatorcontrib>Zhang, Longying</creatorcontrib><creatorcontrib>Huang, Kunzhai</creatorcontrib><creatorcontrib>Zheng, Miaomiao</creatorcontrib><creatorcontrib>Zhang, Fuxing</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Gland surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hong, Yiyan</au><au>Zhan, Hongliang</au><au>Zhang, Longying</au><au>Huang, Kunzhai</au><au>Zheng, Miaomiao</au><au>Zhang, Fuxing</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of gasless insufflation transaxillary endoscopic thyroidectomy on the parathyroid gland injury in patients with thyroid cancer: a retrospective analysis</atitle><jtitle>Gland surgery</jtitle><addtitle>Gland Surg</addtitle><date>2024-10-31</date><risdate>2024</risdate><volume>13</volume><issue>10</issue><spage>1729</spage><epage>1739</epage><pages>1729-1739</pages><issn>2227-684X</issn><eissn>2227-8575</eissn><abstract>Recently, endoscope has been widely used in thyroid surgery and gasless insufflation transaxillary endoscopic thyroidectomy (GTET) has been the mainstay of thyroid surgery. Parathyroid gland (PG) damage is a common complication of thyroid surgery. Therefore, the aim of this study was to investigate the effect of GTET on hypoparathyroidism (HPT) in patients with thyroid cancer. According to the surgical approach, the patients were divided into a GTET group and a conventional open thyroidectomy (COT) group. Univariate analysis and logistic regression were used to identify factors associated with PG injury. The odds ratio (OR) and 95% confidence interval (CI) for each independent variable were calculated. A retrospective analysis was conducted on 405 patients diagnosed with papillary thyroid cancer (PTC). A total of 51 patients experienced PG injury, including 7 cases (5%) of GTET group and 44 cases (16.5%) of COT group (P&lt;0.001). Among them, the incidence of GTET group injury with one PG was 50.4%, two were 2.9%, and COT group were 59.8% and 7.9%, respectively (P=0.006). Univariate and multivariate analysis revealed that GTET was a protective factor for PG injury (OR, 0.251; 95% CI, 0.110-0.576; P=0.001), while Hashimoto's thyroiditis (HT) was identified as a risk factor for PG injury (OR, 2.722; 95% CI, 1.114-6.654; P=0.02). GTET reduces the incidence of PG injury and nerve injury, when PTC is combined with HT, it increases the risk of PG injury.</abstract><cop>China (Republic : 1949- )</cop><pub>AME Publishing Company</pub><pmid>39544985</pmid><doi>10.21037/gs-24-234</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-4712-1155</orcidid><orcidid>https://orcid.org/0000-0002-3751-0210</orcidid><orcidid>https://orcid.org/0009-0006-4092-6053</orcidid><orcidid>https://orcid.org/0009-0007-4405-2928</orcidid><orcidid>https://orcid.org/0000-0002-2102-1594</orcidid><orcidid>https://orcid.org/0009-0000-0264-7498</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2227-684X
ispartof Gland surgery, 2024-10, Vol.13 (10), p.1729-1739
issn 2227-684X
2227-8575
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11558299
source EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Original
title The impact of gasless insufflation transaxillary endoscopic thyroidectomy on the parathyroid gland injury in patients with thyroid cancer: a retrospective analysis
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-22T12%3A31%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20impact%20of%20gasless%20insufflation%20transaxillary%20endoscopic%20thyroidectomy%20on%20the%20parathyroid%20gland%20injury%20in%20patients%20with%20thyroid%20cancer:%20a%20retrospective%20analysis&rft.jtitle=Gland%20surgery&rft.au=Hong,%20Yiyan&rft.date=2024-10-31&rft.volume=13&rft.issue=10&rft.spage=1729&rft.epage=1739&rft.pages=1729-1739&rft.issn=2227-684X&rft.eissn=2227-8575&rft_id=info:doi/10.21037/gs-24-234&rft_dat=%3Cproquest_pubme%3E3128827102%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3128827102&rft_id=info:pmid/39544985&rfr_iscdi=true