Cargando…
Clinical experience with modified Miccoli’s endoscopic thyroidectomy for treatment of thyroid carcinoma in 86 cases
BACKGROUND: The main purpose of this study was to assess the feasibility and relevant applying techniques of total thyroidectomy for thyroid carcinoma with a modified Miccoli’s approach. METHODS: Eighty-six patients with thyroid carcinoma consecutively received radical operation from October 2007 to...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4176993/ https://www.ncbi.nlm.nih.gov/pubmed/24289654 http://dx.doi.org/10.1186/2047-783X-18-51 |
_version_ | 1782336702210113536 |
---|---|
author | Shen, Xiang Miao, Zhi-ming Lu, Wei Gu, Da-li Yang, Dan Shen, Hao Geng, Feng |
author_facet | Shen, Xiang Miao, Zhi-ming Lu, Wei Gu, Da-li Yang, Dan Shen, Hao Geng, Feng |
author_sort | Shen, Xiang |
collection | PubMed |
description | BACKGROUND: The main purpose of this study was to assess the feasibility and relevant applying techniques of total thyroidectomy for thyroid carcinoma with a modified Miccoli’s approach. METHODS: Eighty-six patients with thyroid carcinoma consecutively received radical operation from October 2007 to June 2012. A cavity above the gland was constructed by a modified suspension method using the suspension retractor with suction catheter after the pathway making. Eighty-six cases underwent the modified Miccoli’s endoscopic thyroidectomy using the ultrasonic scalpel and the space maintain-regulating device. Level VI lymph node dissection was performed using the method of inspection pit. RESULTS: All the procedures were completed successfully. The average detection rate of level VI lymph nodes, the average time of thyroidectomy and lymph nodes dissection were 7.27 ± 3.99 pieces per case, 51.32 ± 13.35 min, and 38.43 ± 15.24 min, respectively. With regard to postoperative complications, there were three cases of delayed transient hoarseness, two patients with transient numbness of hands and feet, one subject with chylous fistula, and no hemorrhage. CONCLUSION: Total thyroidectomy for thyroid carcinoma can be safely performed with the modified Miccoli’s approach by using ultrasonic scalpel and the space maintain-regulating device. Application of these adaptive reforms can obviously reduce the difficulties in manipulation and have the advantages of minimal incisions, good cosmetic results, less bleeding, shorter hospital stay, and fewer complications. |
format | Online Article Text |
id | pubmed-4176993 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-41769932014-09-28 Clinical experience with modified Miccoli’s endoscopic thyroidectomy for treatment of thyroid carcinoma in 86 cases Shen, Xiang Miao, Zhi-ming Lu, Wei Gu, Da-li Yang, Dan Shen, Hao Geng, Feng Eur J Med Res Research BACKGROUND: The main purpose of this study was to assess the feasibility and relevant applying techniques of total thyroidectomy for thyroid carcinoma with a modified Miccoli’s approach. METHODS: Eighty-six patients with thyroid carcinoma consecutively received radical operation from October 2007 to June 2012. A cavity above the gland was constructed by a modified suspension method using the suspension retractor with suction catheter after the pathway making. Eighty-six cases underwent the modified Miccoli’s endoscopic thyroidectomy using the ultrasonic scalpel and the space maintain-regulating device. Level VI lymph node dissection was performed using the method of inspection pit. RESULTS: All the procedures were completed successfully. The average detection rate of level VI lymph nodes, the average time of thyroidectomy and lymph nodes dissection were 7.27 ± 3.99 pieces per case, 51.32 ± 13.35 min, and 38.43 ± 15.24 min, respectively. With regard to postoperative complications, there were three cases of delayed transient hoarseness, two patients with transient numbness of hands and feet, one subject with chylous fistula, and no hemorrhage. CONCLUSION: Total thyroidectomy for thyroid carcinoma can be safely performed with the modified Miccoli’s approach by using ultrasonic scalpel and the space maintain-regulating device. Application of these adaptive reforms can obviously reduce the difficulties in manipulation and have the advantages of minimal incisions, good cosmetic results, less bleeding, shorter hospital stay, and fewer complications. BioMed Central 2013-12-01 /pmc/articles/PMC4176993/ /pubmed/24289654 http://dx.doi.org/10.1186/2047-783X-18-51 Text en Copyright © 2013 Shen et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Shen, Xiang Miao, Zhi-ming Lu, Wei Gu, Da-li Yang, Dan Shen, Hao Geng, Feng Clinical experience with modified Miccoli’s endoscopic thyroidectomy for treatment of thyroid carcinoma in 86 cases |
title | Clinical experience with modified Miccoli’s endoscopic thyroidectomy for treatment of thyroid carcinoma in 86 cases |
title_full | Clinical experience with modified Miccoli’s endoscopic thyroidectomy for treatment of thyroid carcinoma in 86 cases |
title_fullStr | Clinical experience with modified Miccoli’s endoscopic thyroidectomy for treatment of thyroid carcinoma in 86 cases |
title_full_unstemmed | Clinical experience with modified Miccoli’s endoscopic thyroidectomy for treatment of thyroid carcinoma in 86 cases |
title_short | Clinical experience with modified Miccoli’s endoscopic thyroidectomy for treatment of thyroid carcinoma in 86 cases |
title_sort | clinical experience with modified miccoli’s endoscopic thyroidectomy for treatment of thyroid carcinoma in 86 cases |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4176993/ https://www.ncbi.nlm.nih.gov/pubmed/24289654 http://dx.doi.org/10.1186/2047-783X-18-51 |
work_keys_str_mv | AT shenxiang clinicalexperiencewithmodifiedmiccolisendoscopicthyroidectomyfortreatmentofthyroidcarcinomain86cases AT miaozhiming clinicalexperiencewithmodifiedmiccolisendoscopicthyroidectomyfortreatmentofthyroidcarcinomain86cases AT luwei clinicalexperiencewithmodifiedmiccolisendoscopicthyroidectomyfortreatmentofthyroidcarcinomain86cases AT gudali clinicalexperiencewithmodifiedmiccolisendoscopicthyroidectomyfortreatmentofthyroidcarcinomain86cases AT yangdan clinicalexperiencewithmodifiedmiccolisendoscopicthyroidectomyfortreatmentofthyroidcarcinomain86cases AT shenhao clinicalexperiencewithmodifiedmiccolisendoscopicthyroidectomyfortreatmentofthyroidcarcinomain86cases AT gengfeng clinicalexperiencewithmodifiedmiccolisendoscopicthyroidectomyfortreatmentofthyroidcarcinomain86cases |