Operative Technique of Endoscopic Thyroidectomy: A Narration of General Principles

Bhargav, Panchangam Ramakanth; Vennapusa, Amar

doi:10.1007/s12262-012-0494-8

Cited by 10 publications

(15 citation statements)

References 17 publications

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“…Berry's ligament and the inferior constrictor muscle are useful as landmarks for retro-auricular and trans-oral approaches because the upper pole is first dissected [105,106].…”

Section: A C C E P T E D a R T I C L Ementioning

confidence: 99%

Care and Management of Voice Change in Thyroid Surgery: Korean Society of Laryngology, Phoniatrics and Logopedics Clinical Practice Guideline

Force

Ryu

Lee

et al. 2022

Clin Exp Otorhinolaryngol

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Voice change is a common complaint after thyroid surgery and has significant impacts on quality of life. The Korean Society of Laryngology, Phoniatrics, and Logopedics set up a task force team to establish guideline recommendations on education, care, and management related to thyroid surgery. The guideline recommendations include preoperative voice education, management of anticipated voice change during surgery, and comprehensive voice care after thyroid surgery, including in-depth information and up-to-date knowledge based on validated literature. The committee constructed 14 key questions (KQ) in three categories: preoperative (KQ1–2), intraoperative (KQ 3–8), and postoperative (KQ 9–14) management and developed 18 evidence-based recommendations. The Delphi survey reached an agreement on each recommendation. Detailed evidence profiles are presented for each recommendation. The level of evidence for each recommendation is classified into high, moderate, and low-quality. The recommendation

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“…Berry's ligament and the inferior constrictor muscle are useful as landmarks for retro-auricular and trans-oral approaches because the upper pole is first dissected [105,106].…”

Section: A C C E P T E D a R T I C L Ementioning

confidence: 99%

Care and Management of Voice Change in Thyroid Surgery: Korean Society of Laryngology, Phoniatrics and Logopedics Clinical Practice Guideline

Force

Ryu

Lee

et al. 2022

Clin Exp Otorhinolaryngol

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“…Thyroid surgery was performed by three experienced surgeons. The surgical technique was based on a previously described procedure with slight modifications[ 15 ]. ICG (0.5 mg/kg) was intravenously administered 1 h before initiation of anesthesia after confirmation that the patient was not allergic to ICG.…”

Section: Treatmentmentioning

confidence: 99%

Potential protection of indocyanine green on parathyroid gland function during near-infrared laparoscopic-assisted thyroidectomy: A case report and literature review

Peng¹,

Yang²,

Dong³

et al. 2020

WJCC

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BACKGROUND In recent decades, significant advances have been made in protecting the parathyroid glands and recurrent laryngeal nerves during thyro-idectomy. However, reliable and convenient technical means are still lacking. In this study, the reliability, safety and feasibility of near-infrared (NIR) laparoscopy-assisted thyroid lobectomy with isthmectomy and prophylactic central lymph node dissection (CLND) were reported. CASE SUMMARY A 63-year-old female patient with a free previous medical history, was admitted to our department due to multiple thyroid nodules. Ultrasonic examination suggested diffuse thyroid changes and one thyroid nodule in the right upper lobe with the largest diameter of 1.5 cm adjacent to the trachea and Breast Imaging Reporting and Data System grade 4B. Imaging examination of the neck showed no obvious enlarged lymph nodes. Fine needle aspiration biopsy suggested a papillary thyroid carcinoma. Combined with thyroid function examination, the patient was diagnosed with papillary thyroid carcinoma and Hashimoto's thyroiditis. Considering the risk of invading the capsule and the patient's extreme anxiety, a right thyroid lobectomy with isthmectomy and prophylactic CLND was planned. No significant abnormalities were found during preoperative examinations, except for an increased thyroid stimulating hormone level. The patient underwent NIR laparoscopy-assisted thyroid lobectomy with isthmectomy and prophylactic CLND. During the operation, two right parathyroid glands (PGs) adjacent to the thyroid gland capsule and the right recurrent laryngeal nerve (RLN) were examined by indocyanine green (ICG) fluorescence using a NIR fluorescence camera, and the PGs and RLN were reliably preserved. Considering the ICG-positive PG, prophylactic CLND was performed. The postoperative parathyroid hormone level was in the normal range and no significant hypocalcemia symptoms were observed. CONCLUSION During NIR laparoscopy-assisted thyroidectomy, ICG fluorescence may aid PG identification and protection.

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“…Therefore, dry surgical field should be provided by performing blood vessel dissection and securing hemostasis. 4 While excision of thyroid via three ports offers minimum incision i.e 10 mm for camera at anterior axillary line just lateral to nipple and two 5mm port for instruments at medial part of chest 7 and at anterior axillary line at deltopectoral groove seems more promising as it is cosmetically acceptable and provides good illumination and magnified view. However, risk of complications are analogous to those in open conventional method but somehow more reliant on surgeon proficiency in field of laparoscopy.…”

Section: Introductionmentioning

confidence: 99%

“…However, risk of complications are analogous to those in open conventional method but somehow more reliant on surgeon proficiency in field of laparoscopy. 7 The aim of this study was to compare the clinical outcomes between open thyroidectomy vs endoscopic thyroidectomies.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic thyroid lobectomy vs Conventional open thyroid lobectomy

et al. 2020

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Background and Objective: Surgical managements for these suspicious nontoxic swellings requires open conventional method of thyroidectomy by neck incisions that can result in prominent scars and immediate risk usually hemorrhage. However new technological innovations came into practiced that include video assisted minimal invasive endoscopy by axillo-breast approach that gives very promising results with excellent cosmesis. In this study, we compared conventional open surgery with minimal invasive endoscopic techniques and associate various complaints and complications that were encountered in surgery. Methods: Sixty patients were enrolled in this comparative study. It was conducted from period February 2018 to February 2019.The patients were randomized alternatively in two groups. Group-I patients underwent conventional lobectomy while Group-II patients were operated endoscopically, Patients having nodules less than 3cm and Thy 1 and 2 were included in this study. Patient having nodules greater than 3cm, Multinodular goiter, recurrent nodule and Thy 3-6 were excluded from the study. Results: Patients who underwent endoscopic lobectomy were much more satisfied about scar marks whereas some developed post-operative complications. It included hoarseness of voice in Three (13.62%) patients, two patients developed seroma (9.08%), three patients (13.62%) erythema, whereas no postoperative complications were seen in patients who underwent open thyroid lobectomy. No signs of hypocalcemia noted in both approaches. Conclusions: The complications with endoscopic approaches are higher but they are minor and resolved spontaneously within maximum period of six weeks. However scar mark satisfaction was much higher in endoscopic lobectomy group. doi: https://doi.org/10.12669/pjms.36.4.1604 How to cite this:Imran M, Mehmood Z, Baloch MN, Altaf S. Endoscopic thyroid lobectomy Vs Conventional open thyroid lobectomy. Pak J Med Sci. 2020;36(4):831-835. doi: https://doi.org/10.12669/pjms.36.4.1604 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Operative Technique of Endoscopic Thyroidectomy: A Narration of General Principles

Cited by 10 publications

References 17 publications

Care and Management of Voice Change in Thyroid Surgery: Korean Society of Laryngology, Phoniatrics and Logopedics Clinical Practice Guideline

Care and Management of Voice Change in Thyroid Surgery: Korean Society of Laryngology, Phoniatrics and Logopedics Clinical Practice Guideline

Potential protection of indocyanine green on parathyroid gland function during near-infrared laparoscopic-assisted thyroidectomy: A case report and literature review

Endoscopic thyroid lobectomy vs Conventional open thyroid lobectomy

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