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Gasless, endoscopic trans-axillary thyroid surgery: our series of the first 51 human cases

BACKGROUND: The safety of gasless endoscopic trans-axillary thyroid surgery is still undetermined. METHODS: Clinical findings and postoperative complications of patients who had undergone trans-axillary thyroid surgery due to thyroid cancer and thyroid nodules were retrospectively studied. The senso...

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Autores principales: Cong, Rong, Li, Xinying, Ouyang, Hui, Xue, Wenbo, Zhang, Zeyu, Xia, Fada
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8742327/
https://www.ncbi.nlm.nih.gov/pubmed/34996483
http://dx.doi.org/10.1186/s12957-021-02484-z
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author Cong, Rong
Li, Xinying
Ouyang, Hui
Xue, Wenbo
Zhang, Zeyu
Xia, Fada
author_facet Cong, Rong
Li, Xinying
Ouyang, Hui
Xue, Wenbo
Zhang, Zeyu
Xia, Fada
author_sort Cong, Rong
collection PubMed
description BACKGROUND: The safety of gasless endoscopic trans-axillary thyroid surgery is still undetermined. METHODS: Clinical findings and postoperative complications of patients who had undergone trans-axillary thyroid surgery due to thyroid cancer and thyroid nodules were retrospectively studied. The sensory change and paralysis results from this technique and patients’ satisfaction with the cosmesis were also studied. RESULTS: Fifty-one patients (49 females and 2 males) received operations by gasless, endoscopic trans-axillary approaches with one patient whose operation was converted to open surgery because of internal jugular vein injury. Only two patients developed temporary vocal cord paralysis and no patients developed other severe complications. The alleviation of the discomfort in the anterior neck area and sternocleidomastoid, and the cosmetic effect of gasless endoscopic trans-axillary thyroid surgery were acceptable. No evidence of recurrence was found during the follow-up period. CONCLUSIONS: Gasless, endoscopic trans-axillary thyroid surgery is a feasible procedure with acceptable safety and better cosmetic results in strictly selected patients.
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spelling pubmed-87423272022-01-10 Gasless, endoscopic trans-axillary thyroid surgery: our series of the first 51 human cases Cong, Rong Li, Xinying Ouyang, Hui Xue, Wenbo Zhang, Zeyu Xia, Fada World J Surg Oncol Research BACKGROUND: The safety of gasless endoscopic trans-axillary thyroid surgery is still undetermined. METHODS: Clinical findings and postoperative complications of patients who had undergone trans-axillary thyroid surgery due to thyroid cancer and thyroid nodules were retrospectively studied. The sensory change and paralysis results from this technique and patients’ satisfaction with the cosmesis were also studied. RESULTS: Fifty-one patients (49 females and 2 males) received operations by gasless, endoscopic trans-axillary approaches with one patient whose operation was converted to open surgery because of internal jugular vein injury. Only two patients developed temporary vocal cord paralysis and no patients developed other severe complications. The alleviation of the discomfort in the anterior neck area and sternocleidomastoid, and the cosmetic effect of gasless endoscopic trans-axillary thyroid surgery were acceptable. No evidence of recurrence was found during the follow-up period. CONCLUSIONS: Gasless, endoscopic trans-axillary thyroid surgery is a feasible procedure with acceptable safety and better cosmetic results in strictly selected patients. BioMed Central 2022-01-07 /pmc/articles/PMC8742327/ /pubmed/34996483 http://dx.doi.org/10.1186/s12957-021-02484-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Cong, Rong
Li, Xinying
Ouyang, Hui
Xue, Wenbo
Zhang, Zeyu
Xia, Fada
Gasless, endoscopic trans-axillary thyroid surgery: our series of the first 51 human cases
title Gasless, endoscopic trans-axillary thyroid surgery: our series of the first 51 human cases
title_full Gasless, endoscopic trans-axillary thyroid surgery: our series of the first 51 human cases
title_fullStr Gasless, endoscopic trans-axillary thyroid surgery: our series of the first 51 human cases
title_full_unstemmed Gasless, endoscopic trans-axillary thyroid surgery: our series of the first 51 human cases
title_short Gasless, endoscopic trans-axillary thyroid surgery: our series of the first 51 human cases
title_sort gasless, endoscopic trans-axillary thyroid surgery: our series of the first 51 human cases
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8742327/
https://www.ncbi.nlm.nih.gov/pubmed/34996483
http://dx.doi.org/10.1186/s12957-021-02484-z
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