Evaluation of intracapsular total thyroidectomy as a safe method in benign thyroid diseases

Elgamaal, Ahmed S.; Fayed, Asem; Elbalshy, Mohammed A.; Aziz, Mohamed Mostafa

doi:10.18203/2349-2902.isj20193307

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…2 There is continuous evolution in surgical management of thyroid diseases. 3 Several teams of surgeons around the world led the search for a less invasive and more cosmetically appealing approach to a thyroidectomy. 4 As the anterior neck is a prominent, constantly exposed part of the body, and thyroid gland pathology is commonly a benign entity, surgeons have been seeking to perform operations with better cosmesis without any compromise in safety or complication rate.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of using minimal incision in thyroidectomy operation

et al. 2019

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Background: The conventional technique of thyroidectomy requires long skin incision, not satisfying patient and surgeon in terms of cosmesis and endoscopic thyroid surgery requires expertise. The aim of this study was to compare the clinical outcomes of patients undergoing minimal-incision thyroidectomy with those undergoing conventional thyroidectomy for benign thyroid diseases.Methods: Prospective randomized study that was carried on 50 patients who were undergone thyroidectomy at the department of surgery-Menoufia University from June 2018 to June 2019. The patients were divided into two groups. Group A included 25 patients who were operated upon using minimal incision thyroidectomy technique and group B included 25 patients who were undergone traditional thyroidectomy incision.Results: The length of skin incision was significantly shorter in the minimal-incision thyroidectomy than that in the conventional thyroidectomy group. Operative time was shorter in minimal incision technique. The incidence of postoperative complications was higher in conventional thyroidectomy group but didn’t reach to significant level. Patients undergone minimal-incision thyroidectomy experienced significantly less postoperative pain and were more satisfied with the cosmetic result than patients who underwent conventional thyroidectomy.Conclusions: Thyroid surgery can safely be performed as a minimally invasive procedure. Minimal access thyroid surgery is therefore a feasible and safe option for selected patients with excellent cosmetic outcome, with minimal learning curve.

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Section: Introductionmentioning

confidence: 99%

Feasibility of using minimal incision in thyroidectomy operation

et al. 2019

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Retrospective Cohort Study on the Surgical Outcomes of Intracapsular Thyroidectomy Vs Standard Thyroidectomy

Meenakshi¹,

Rajasekar²,

Ramanathan³

2023

Indian J Otolaryngol Head Neck Surg

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Total thyroidectomy using intracapsular dissection: the technique, complications, and surgical outcomes

Sumanth

Rao

2022

Egypt J Otolaryngol

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Background Diseases of the thyroid gland are common with a prevalence of 4–7% in the general population, the incidence being higher in endemic areas. Surgical removal is one of the most important treatments for thyroid swellings and it is very important for both the surgeon and patient to understand the surgery, its complications and the outcome. The most frequent complications of thyroid surgeries are related to the injury of recurrent laryngeal nerves or metabolic derangements related to injury of parathyroid glands. Hence intracapsular dissection may be carried out to avoid these potential complications which ensure a good surgical outcome in a select group of patients. The study aims to define the technique of thyroidectomy using intracapsular dissection and assess the complications related to this technique of thyroid surgery. This prospective observational study was carried out on 41 patients who underwent total thyroidectomy after evaluation from November 2013 to June 2016. Results Two patients developed transient hypocalcemia following the surgery out of 41 patients. No patients developed permanent RLN palsy or permanent hypocalcemia. Conclusion Thyroidectomy done using the intracapsular dissection technique is a safe and easy procedure for benign thyroid swellings. This technique aims to minimize tissue handling and dissection in the lateral thyroid groove and thereby reduce the postoperative complications related to the injury of recurrent laryngeal nerve and parathyroid glands, increasing the surgical outcomes and patient compliance. Hence, intracapsular dissection can be routinely practiced for the extirpation of benign thyroid swellings.

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Evaluation of intracapsular total thyroidectomy as a safe method in benign thyroid diseases

Cited by 3 publications

References 7 publications

Feasibility of using minimal incision in thyroidectomy operation

Feasibility of using minimal incision in thyroidectomy operation

Retrospective Cohort Study on the Surgical Outcomes of Intracapsular Thyroidectomy Vs Standard Thyroidectomy

Total thyroidectomy using intracapsular dissection: the technique, complications, and surgical outcomes

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