Minimally invasive video‐assisted thyroidectomy: A retrospective study over two years of experience

Snissarenko, Eugene P.; Kim, Grace H.; Simental, Alfred; Zwart, Jon E.; Ransbarger, Darron M.; Kim, Paul D.

doi:10.1016/j.otohns.2009.01.015

Cited by 18 publications

(18 citation statements)

References 14 publications

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“…13,14 Total laparoscopic thyroidectomy and cholecystectomy have since become widely performed in many medical centres, and the concept of a minimally invasive, aesthetic procedure has been accepted by many surgeons and welcomed by patients. 15,16 Improvements in laparoscopic technology and instruments have resulted in more surgeons being willing to attempt this approach. 17,18 New instrumentation and strategies have alleviated some of the challenges of performing laparoscopy through a single abdominal incision for a range of gynaecological procedures.…”

Section: Resultsmentioning

confidence: 99%

Single-Port Laparoscopic Hysterectomy versus Conventional Laparoscopic Hysterectomy: A Prospective Randomized Trial

Han

Yan

2012

J Int Med Res

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OBJECTIVE:To compare transumbilical single-port laparoscopic hysterectomy (TSPLH) with traditional four-port total laparoscopic hysterectomy (TLH). METHODS: Patients with benign uterine disease were assigned to receive either TSPLH (n = 52) or TLH (n = 56). Duration of surgery, intraoperative blood loss, conversion rate, time to first flatus, duration of immobilization, postoperative analgesia requirement, port site infection, port hernia, duration of hospital stay, postoperative fever rate and percentage patient satisfaction were recorded. RESULTS: TSPLH and TLH were both performed successfully. TSPLH was associated with significantly longer duration of surgery, shorter duration of immobilization, lower rate of port site infection and higher patient satisfaction than TLH. There were no other significant differences between the two groups. All subjects recovered fully and no postoperative complications occurred during a 6-month (minimum) follow-up period. CONCLUSIONS: TSPLH was found to be a feasible and safe approach for laparoscopic hysterectomy.

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Section: Resultsmentioning

confidence: 99%

Single-Port Laparoscopic Hysterectomy versus Conventional Laparoscopic Hysterectomy: A Prospective Randomized Trial

Han

Yan

2012

J Int Med Res

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“…Because of its reduced surgical injury, better wound healing and better cosmetic outcome, this new technique has been widely applied in the treatment of thyroid carcinoma and made exciting outcomes (32)(33)(34)(35). Although the video-assisted surgical technique has much experience in thyroidectomy and central neck lymphadenectomy (5,10,13,15,33,36), its application in lateral neck lymph node dissection has been little reported. Several reports have presented the example of successful lateral neck lymphadenectomy using robotic surgical technique (6,16,37,38), but its application has been limited due to the high cost and the special request for the surgical equipment.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive video-assisted lateral neck lymphadenectomy for the papillary thyroid carcinoma with cervical lymph nodes metastasis

Zhao

et al. 2016

Japanese Journal of Clinical Oncology

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Objective: Minimally invasive video-assisted technique has been successfully used in thyroidectomy to treat low-and intermediate-risk papillary thyroid cancer. But there was very little experience of this technique to be used in the lateral neck lymphadenectomy to treat papillary thyroid cancer with lateral neck lymph node metastasis. This study aimed to verify the potential benefits of a new minimally invasive video-assisted lateral neck lymphadenectomy that evaluated the likelihood of the surgical method as an alternative for thyroid carcinoma with lateral lymph node metastasis. Method: A total of 58 patients were retrospectively compared, which included two groups: Following thyroidectomy and the central neck node dissection (level VI), the first group underwent the conventional lateral neck lymphadenectomy and the other group underwent video-assisted lateral neck lymphadenectomy. In addition to the comparison of treatment outcomes between the new treatment and the conventional one, other parameters including operative time, length of incision, operative hemorrhage, postoperative drainage, length and costs of hospitalization were also compared. Results: Patients who received the new surgical method had significantly shorter incisional length, lower incidence of local skin paresthesia and shorter length of hospitalization when compared to the conventional treatment. Conclusions: Compared with the conventional lateral neck lymphadenectomy for cN1b-stage papillary thyroid carcinoma, the new minimally invasive video-assisted lateral neck lymphadenectomy is a feasible and safe alternative for treatment of thyroid carcinoma with cervical lymph node metastases since it has the advantages of less postoperative complications and better cosmetic outcome.

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“…In the early years, only a few reports were issued in journals (Navarra et al, 1997) and most surgeons did not think such a "difficult" operation, other than providing scar reduction, would be beneficial for patients. In recent years, after scarless endoscopic thyroidectomy was widely performed in many medical centers, the concept of a minimally invasive esthetic operation had been accepted by many surgeons, because it was welcomed by many patients (Snissarenko et al, 2009). More surgeons found that TSPLC was not as difficult as before with the development of laparoscopic technology and instrument upgrades (Romanelli et al, 2008;.…”

Section: Discussionmentioning

confidence: 99%

Transumbilical single-port laparoscopic cholecystectomy using traditional laparoscopic instruments: a report of thirty-six cases

Cao

Que

Zhou

et al. 2011

J. Zhejiang Univ. Sci. B

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Abstract:Objective: To evaluate the feasibility and safety of the operation of transumbilical single-port laparoscopic cholecystectomy (TSPLC) by traditional laparoscopic instruments and summarize the initial experience. Methods: Sixty subjects with cholelithiasis were divided into two groups. One group (36 cases) underwent TSPLC and the control group (24 cases) underwent traditional three-port laparoscopic cholecystectomy (LC). Postoperative complications were observed and operation time, hospital days, visual analogue scale (VAS) after 6 and 24 h of operation, and subject satisfaction score were measured. Results: TSPLC and traditional LC were performed successfully in the two groups. The operation time in the TSPLC group was significantly longer than that in the control group. There was no statistically significant difference in hospital stay and VAS between the TSPLC and control groups. The subject satisfaction score in the TSPLC group was 91.2, significantly higher than that in the control group (P<0.01). All subjects recovered from the operation and no postoperative complication occurred during the period of two weeks after operation. Conclusions: TSPLC is a feasible and safe method for cholecystectomy, although it may be more time-consuming. However, it is welcomed by patients who are more concerned with cosmetic outcomes. Future studies are needed to confirm its disadvantages and contraindications.

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Minimally invasive video‐assisted thyroidectomy: A retrospective study over two years of experience

Abstract: We found statistically improved operative times, hospital stay, and blood loss the first 2 years with a low rate of temporary complications. It appears that minimally invasive video-assisted thyroidectomy is a safe and feasible option to standard thyroidectomy in selected patients.

Cited by 18 publications

References 14 publications

Single-Port Laparoscopic Hysterectomy versus Conventional Laparoscopic Hysterectomy: A Prospective Randomized Trial

Single-Port Laparoscopic Hysterectomy versus Conventional Laparoscopic Hysterectomy: A Prospective Randomized Trial

Minimally invasive video-assisted lateral neck lymphadenectomy for the papillary thyroid carcinoma with cervical lymph nodes metastasis

Transumbilical single-port laparoscopic cholecystectomy using traditional laparoscopic instruments: a report of thirty-six cases

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