The Minimally Invasive Effect of Breast Approach Endoscopic Thyroidectomy: An Expert's Experience

We evaluated the invasiveness of breast approach endoscopic thyroidectomy (BAET) carried out by surgeon very experienced in this procedure. Twenty-four patients who underwent BAET and 19 patients who underwent conventional thyroidectomy were the study population. Postoperative pain was assessed by a...

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Detalles Bibliográficos
Autores principales: Zhang, Wei, Jiang, Zhi-guo, Jiang, Dao-zhen, Zheng, Xiang-min, Shen, Hong-liang, Shan, Cheng-xiang, Liu, Sheng, Qiu, Ming
Formato: Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2010
Materias:
Clinical Study
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2933855/
https://www.ncbi.nlm.nih.gov/pubmed/20827304
http://dx.doi.org/10.1155/2010/459143
Descripción
Sumario:We evaluated the invasiveness of breast approach endoscopic thyroidectomy (BAET) carried out by surgeon very experienced in this procedure. Twenty-four patients who underwent BAET and 19 patients who underwent conventional thyroidectomy were the study population. Postoperative pain was assessed by a visual analog scale (VAS). The values 2, 12, and 24 h after surgery were significantly lower in the BAET group than those in the conventional group. Serum IL-6 and CRP levels were measured by an ELISA preoperatively and at 2, 12, 24 and 48 h after operation. Their values increased significantly after both procedures when compared to preoperative levels with significant differences between the two groups detected at the 24-hour and 48-hour time points. Subjective and objective evidence supported the notion that BAET could become a minimally invasive procedure if the surgeon gained sufficient experience.

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