Delayed tracheal rupture following transoral endoscopic thyroidectomy vestibular approach: Case report and review of the literature

Weng, Yu-Jing; Hu, Benling; Jiang, Jiang; Liu, Min; Ai, Qing; Chen, De-Biao; Chen, Wei‐Chun; Huang, Zhi-heng

doi:10.1002/hed.27180

Cited by 3 publications

(2 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Weng et al reviewed the literature and found ten articles on tracheal injury following endoscopic thyroidectomy. In those cases, both intraoperative and delayed tracheal injury were reported [ 30 ]. Intraoperative tracheal perforation was caused especially by the Veress needle and accidental dissection, whereas thermal injury was more likely to cause delayed rupture resulting in tracheal necrosis [ 22 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

Transoral Thyroidectomy: Initial Results of the European TOETVA Study Group

Arikan

Riss²,

Scheuba³

et al. 2023

World j. surg.

View full text Add to dashboard Cite

Background The aim of this study was to evaluate a new surgical technique by the European Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) Study Group. Methods This study included 391 patients (47 [(12%]) male and 344 [(88%)] female) who had undergone endoscopic thyroid or parathyroid surgery via the vestibular approach between February 2016 and May 2022 at nine centers. The data were analyzed with regard to complications, surgery time and specimen retrieval. Results Overall, 376 (96.2%) TOETVA and 15 (3.8%) transoral endoscopic parathyroidectomy vestibular approach interventions were performed with an average surgery time of 145 (± 61.2) minutes and 509 nerves at risk. The specimens were retrieved via a transoral vestibular and retroauricular approach in 66 (16.9%) patients and via a transaxillary approach in 8 (2%). Benign histology including Grave’s disease was identified in 272 (69.6%) patients, 1 (0.3%) presented noninvasive follicular thyroid neoplasms with papillary-like nuclear features, and 103 (26.3%) showed differentiated thyroid carcinoma. Solitary parathyroid adenoma were removed in 15 (3.8%) patients. Conversion to open surgery was necessary in 13 (3.3%) and revision had to be performed in 2 (0.5%) patients. Transient recurrent laryngeal nerve palsy (RLNP) was present in 18 (4.6%) and permanent RLNP in 2 (0.5%) patients. Fifteen (3.8%) patients experienced transient hypoparathyroidism after thyroidectomy. No case of permanent hypoparathyroidism was observed. Postoperative surgical site infection occurred in 1 (0.3%) patient. Despite a higher rate of sensory and motor disorders and skin discoloration at discharge, permanent disorders were present in only 3 (0.8%) and 16 (4.1%) patients, respectively. Conclusion Our results show that transoral endoscopic surgery, performed by experienced endocrine surgeons, is a safe alternative to conventional thyroid surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Transoral Thyroidectomy: Initial Results of the European TOETVA Study Group

Arikan

Riss²,

Scheuba³

et al. 2023

World j. surg.

View full text Add to dashboard Cite

show abstract

“…Regression analysis of TOETVA complications by Fernandez-Ranvier G et al showed the most significant reduction in complications in case 12, with the risk and severity of complications decreasing significantly as the number of cases increased ( 23 ). In addition, delayed tracheal rupture was reported after 1 week of TOETVA treatment ( 43 ). Previous studies have shown judicious use of energy instruments and a safe distance from the windpipe can avoid tracheal damage..…”

Section: Discussionmentioning

confidence: 99%

The global status and hotspots of research in the field of trans-oral endoscopic thyroidectomy (TOET) from 2008 to 2022

Qin

Jin

et al. 2023

Front. Surg.

View full text Add to dashboard Cite

PurposeIn this study, the aim was to comprehensively analyze the current status, hotspots, and trends of trans-oral endoscopic thyroidectomy (TOET) through bibliometric analysis and by presenting the field atlas.MethodsWeb of Science Core Collection database was adopted to screen studies regarding TOET published between January 1, 2008 and August 1, 2022. The evaluation covered the criteria total number of studies, keywords, and contributions from countries/regions, institutions, journals, and authors.ResultsA total of 229 studies were covered. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES is the largest publication in the field of TOET. The three countries that contributed the most studies were Korea, China, and the USA. The most frequently occurring core keywords in the field of TOET are vestibular approach, outcomes, experience, safety, robotic thyroidectomy, scar, video-assisted thyroidectomy and quality-of-life. The seven clusters were generated in this study: intraoperative monitoring of the laryngeal return nerve (# 0), learning curve (# 1), postoperative quality of life (# 2), central lymph node dissection and safety (# 3), complications (# 4), minimally invasive surgery (# 5), and robotic surgery (# 6).ConclusionThe main research topics in the field of TOET place focuses on learning curves, laryngeal nerve monitoring, carbon dioxide gas bolus, chin nerve injury, surgical complications, and surgical safety. In the future, more academics will focus on the safety of the procedure and reducing complications..

show abstract

Review: Improving quality of life in patients with differentiated thyroid cancer

Pace‐Asciak

Russell²,

Tufano³

2023

Front. Oncol.

View full text Add to dashboard Cite

Well differentiated thyroid cancer is a common malignancy diagnosed in young patients. The prognosis tends to be excellent, so years of survivorship is expected with low risk disease. When making treatment decisions, physicians should consider long-term quality of life outcomes when guiding patients. The implications for treating indolent, slow growing tumors are immense and warrant careful consideration for the functioning years ahead. Surgery is the standard of care for most patients, however for a subset of patients, active surveillance is appropriate. For those wishing to treat their cancer in a more active way, novel remote access approaches have emerged to avoid a cervical incision. In the era of “doing less”, options have further expanded to include minimally invasive approaches, such as radiofrequency ablation that avoids an incision, time off work, a general anesthetic, and the possibility of post-treatment hypothyroidism. In this narrative review, we examine the health related quality of life effects that surgery has on patients with thyroid cancer, including some of the newer innovations that have been developed to address patient concerns. We also review the impact that less aggressive treatment has on patient care and overall wellbeing in terms of active surveillance, reduced doses of radioactive iodine (RAI) treatment, or minimally invasive techniques such as radiofrequency ablation (RFA) for low risk thyroid disease.

show abstract

Delayed tracheal rupture following transoral endoscopic thyroidectomy vestibular approach: Case report and review of the literature

Cited by 3 publications

References 30 publications

Transoral Thyroidectomy: Initial Results of the European TOETVA Study Group

Transoral Thyroidectomy: Initial Results of the European TOETVA Study Group

The global status and hotspots of research in the field of trans-oral endoscopic thyroidectomy (TOET) from 2008 to 2022

Review: Improving quality of life in patients with differentiated thyroid cancer

Contact Info

Product

Resources

About