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Total Endoscopic Thyroidectomy with Intraoperative Laryngeal Nerve Monitoring
Objective. To evaluate the clinical efficacy of laryngeal nerve (LN) monitoring (LNM) during total endoscopic thyroidectomy via breast approach, with emphasis on the identification rates for RLN and EBSLN and the incidence of RLN paralysis. Materials and Methods. This retrospective study included 28...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4931063/ https://www.ncbi.nlm.nih.gov/pubmed/27413372 http://dx.doi.org/10.1155/2016/7381792 |
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author | Lv, Bin Zhang, Bin Zeng, Qing-Dong |
author_facet | Lv, Bin Zhang, Bin Zeng, Qing-Dong |
author_sort | Lv, Bin |
collection | PubMed |
description | Objective. To evaluate the clinical efficacy of laryngeal nerve (LN) monitoring (LNM) during total endoscopic thyroidectomy via breast approach, with emphasis on the identification rates for RLN and EBSLN and the incidence of RLN paralysis. Materials and Methods. This retrospective study included 280 patients who underwent endoscopic thyroidectomy with or without LNM. RLN and EBSLN were identified using endoscopic magnification in the control group, while they were localized additionally by LNM in the LNM group. Demographic parameters and surgical outcomes were analyzed by statistical methods. Patients in the control group were also stratified by the side of thyroidectomy to determine difference in left and right RLN injury rates. Results. All procedures were successfully conducted without permanent LN damage. The identification rates for RLN and EBSLN were high in the LNM group compared to those of the control group, and the risk difference (RD) of temporary RLN injury between two groups was 6.3%. The risk of damage was slightly higher for the left RLN than for the right RLN in the control group, which was performed by a right-hand surgeon. Conclusion. The joint application of LNM and endoscopic magnified view endows total endoscopic thyroidectomy with ease, safety, and efficiency. |
format | Online Article Text |
id | pubmed-4931063 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-49310632016-07-13 Total Endoscopic Thyroidectomy with Intraoperative Laryngeal Nerve Monitoring Lv, Bin Zhang, Bin Zeng, Qing-Dong Int J Endocrinol Clinical Study Objective. To evaluate the clinical efficacy of laryngeal nerve (LN) monitoring (LNM) during total endoscopic thyroidectomy via breast approach, with emphasis on the identification rates for RLN and EBSLN and the incidence of RLN paralysis. Materials and Methods. This retrospective study included 280 patients who underwent endoscopic thyroidectomy with or without LNM. RLN and EBSLN were identified using endoscopic magnification in the control group, while they were localized additionally by LNM in the LNM group. Demographic parameters and surgical outcomes were analyzed by statistical methods. Patients in the control group were also stratified by the side of thyroidectomy to determine difference in left and right RLN injury rates. Results. All procedures were successfully conducted without permanent LN damage. The identification rates for RLN and EBSLN were high in the LNM group compared to those of the control group, and the risk difference (RD) of temporary RLN injury between two groups was 6.3%. The risk of damage was slightly higher for the left RLN than for the right RLN in the control group, which was performed by a right-hand surgeon. Conclusion. The joint application of LNM and endoscopic magnified view endows total endoscopic thyroidectomy with ease, safety, and efficiency. Hindawi Publishing Corporation 2016 2016-06-20 /pmc/articles/PMC4931063/ /pubmed/27413372 http://dx.doi.org/10.1155/2016/7381792 Text en Copyright © 2016 Bin Lv et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Lv, Bin Zhang, Bin Zeng, Qing-Dong Total Endoscopic Thyroidectomy with Intraoperative Laryngeal Nerve Monitoring |
title | Total Endoscopic Thyroidectomy with Intraoperative Laryngeal Nerve Monitoring |
title_full | Total Endoscopic Thyroidectomy with Intraoperative Laryngeal Nerve Monitoring |
title_fullStr | Total Endoscopic Thyroidectomy with Intraoperative Laryngeal Nerve Monitoring |
title_full_unstemmed | Total Endoscopic Thyroidectomy with Intraoperative Laryngeal Nerve Monitoring |
title_short | Total Endoscopic Thyroidectomy with Intraoperative Laryngeal Nerve Monitoring |
title_sort | total endoscopic thyroidectomy with intraoperative laryngeal nerve monitoring |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4931063/ https://www.ncbi.nlm.nih.gov/pubmed/27413372 http://dx.doi.org/10.1155/2016/7381792 |
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