Comparisons of different approaches and incisions of thyroid surgery and selection strategy

Lü, Qing; Zhu, Xuemei; Wang, Peisong; Xue, Shuai; Chen, Guang

doi:10.3389/fendo.2023.1166820

Cited by 6 publications

(2 citation statements)

References 61 publications

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“…It is the most common surgical procedure for thyroid problems, usually using an anterior cervical "necklace" incision [ 8 ]. While studies report successful outcomes, it is important to acknowledge that this surgical procedure has certain limitations [ 9 ]. For example, cervical thyroidectomy may pose risks such as inadvertent removal of parathyroid glands and damage to the recurrent laryngeal nerve, which studies suggest are increasingly common occurrences [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…While studies report successful outcomes, it is important to acknowledge that this surgical procedure has certain limitations [ 9 ]. For example, cervical thyroidectomy may pose risks such as inadvertent removal of parathyroid glands and damage to the recurrent laryngeal nerve, which studies suggest are increasingly common occurrences [ 9 ]. Postoperative pain, difficulty swallowing, post-perinatal adhesions, hoarseness of voice, and paresthesia during neck movement may also develop following a routine classical thyroidectomy [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Postoperative Pain Following Transoral Thyroidectomy via Vestibular Approach and Cervical Thyroidectomy: A Systematic Review and Meta-Analysis

Mirghani,

Alamrani,

Alamrani

et al. 2024

Cureus

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Transoral endoscopic thyroidectomy via the vestibular approach (TOETVA) represents a minimally invasive alternative to traditional open thyroidectomy (OT). The objective of this systematic review and metaanalysis was to comprehensively analyze and compare postoperative pain outcomes between conventional open thyroidectomy (COT) and TOETVA. We conducted a systematic search across multiple databases, including PubMed, Medline, Elton B. Stephens Company (EBSCO), and Google Scholar, to identify cohorts and randomized trials comparing postoperative pain outcomes between patients undergoing transoral endoscopic thyroidectomy via the vestibular approach (TOETVA) and those undergoing conventional thyroidectomy. The search period spanned from the earliest available article up to January 15, 2022. Keywords such as "scarless thyroidectomy," "endoscopic transoral via vestibular thyroidectomy," "conventional thyroidectomy," "transcervical thyroidectomy," "postoperative pain," and "visual analog pain score" were utilized to retrieve relevant studies.A total of 1,291 patients from 11 studies were included in our analysis, with 10 studies originating from Asia and one from Europe. Among these studies, seven were prospective, while four were retrospective. The primary outcome measure was postoperative pain. Various statistical tests were also performed for data analysis, including the Chi-square and random effects model. The Newcastle Ottawa Scale was used to assess the quality of studies. There was no significant statistical difference observed between the endoscopic transoral vestibular route and the conventional cervical approach in terms of visual analog scale (VAS) score, with an odds ratio of -0.37 and a 95% confidence interval ranging from -0.9 to 0.17. The overall effect had a P-value of 0.18. However, substantial heterogeneity was noted, with an I2 value for heterogeneity of 98% and a P-value for heterogeneity of less than 0.001. The Chi-square value was calculated as 364.02, and the main difference was 9. In comparison, TOETVA exhibited lower pain levels on the first day post-operation compared to conventional thyroidectomy, with an odds ratio of -1.36 and a 95% confidence interval ranging from -2.65 to -0.06. Transoral endoscopic thyroidectomy via the vestibular approach demonstrated superior outcomes compared to conventional thyroidectomy in terms of postoperative pain management on the first day following surgery. However, when considering overall pain management throughout the recovery period, no significant difference was observed between the two approaches. More extensive studies evaluating pain levels on the day of surgery and controlling for analgesic interventions are warranted.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Postoperative Pain Following Transoral Thyroidectomy via Vestibular Approach and Cervical Thyroidectomy: A Systematic Review and Meta-Analysis

Mirghani,

Alamrani,

Alamrani

et al. 2024

Cureus

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Anatomical recognition artificial intelligence for identifying the recurrent laryngeal nerve during endoscopic thyroid surgery: A single‐center feasibility study

Nishiya,

Matsuura,

Ogane

et al. 2024

Laryngoscope Investig Oto

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BackgroundWe investigate the feasibility of using artificial intelligence (AI) to identify the recurrent laryngeal nerve (RLN) during endoscopic thyroid surgery and evaluated its accuracy.MethodsIn this retrospective study, we develop an AI model using a dataset of endoscopic thyroid surgery videos, including hemithyroidectomy procedures performed between April 2019 and September 2023 at the National Cancer Center Hospital East, Chiba, Japan. Semantic segmentation deep learning methods were applied to analyze the endoscopic thyroid surgery videos.ResultsForty endoscopic thyroid surgery videos, all in high definition or better quality, were analyzed. The Dice values were 0.351, 0.568, and 0.746 for the inferior thyroid artery, RLN, and trachea, respectively. Data augmentation was performed by cropping, standardizing, and resizing to reduce false positives and improve accuracy.ConclusionsThe AI model showed high recognition accuracy of the RLN and trachea. This method holds potential for assisting in future cervical gasless endoscopic surgeries.

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A prospective study to assess cervical scar satisfaction following conventional open thyroidectomy for thyroid cancer

Thiagarajan,

Menon,

Panmand

et al. 2024

Eur Arch Otorhinolaryngol

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Comparisons of different approaches and incisions of thyroid surgery and selection strategy

Cited by 6 publications

References 61 publications

Postoperative Pain Following Transoral Thyroidectomy via Vestibular Approach and Cervical Thyroidectomy: A Systematic Review and Meta-Analysis

Postoperative Pain Following Transoral Thyroidectomy via Vestibular Approach and Cervical Thyroidectomy: A Systematic Review and Meta-Analysis

Anatomical recognition artificial intelligence for identifying the recurrent laryngeal nerve during endoscopic thyroid surgery: A single‐center feasibility study

A prospective study to assess cervical scar satisfaction following conventional open thyroidectomy for thyroid cancer

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