Introduction and use of video‐assisted endoscopic thyroidectomy for patients in <scp>B</scp>elarus affected by the <scp>C</scp>hernobyl nuclear disaster

Igarashi, Takehito; Shimizu, Kazuo; Yakubouski, S. U.; Akasu, Haruki; Okamura, Ritsuko; Sugitani, Iwao; Jikuzono, Tomoo; Danilova, Larisa

doi:10.1111/ases.12058

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…Since then, many endoscopic thyroid surgeries have been performed all over the world, greatly influencing the fields of Otolaryngology (head and neck surgery) and endocrine surgery . We have published several articles in English [28][29][30][31][32][33][34] and Japanese [35] on the VANS technique. In our series, the VANS method was used to treat 690 patients with various thyroid and parathyroid diseases from 1998 to 2014, which represented 23% of the endocrine neck surgeries performed at our institute in this period ( Table 1).…”

Section: Introductionmentioning

confidence: 99%

Video-assisted neck surgery (VANS) using a gasless lifting procedure for thyroid and parathyroid diseases: “The VANS method from A to Z”

Shimizu

Okamura

et al. 2019

Surg Today

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Purpose To describe and evaluate our video-assisted neck surgery (VANS) method for thyroid and parathyroid diseases. Methods We describe in detail the VANS method for enucleation, lobectomy, total (nearly total) thyroidectomy, and lymph node dissection for malignancy and Graves' disease. In collaboration with the Japan Society of Endoscopic Surgery (JSES), we evaluated several aspects of this method. The JSES evaluated the method for working-space formation and surgical complications, whereas we examined the learning curve of the surgeons, and the cosmetic satisfaction of the patients and the degree of numbness and pain they experienced. We also asked patients who underwent conventional surgery whether they would have selected VANS had it been available. Results The working space for 81.5% of the procedures in Japan was created using the gasless lifting method. The learning curve, considering both blood loss and operating time, decreased after 30 cases. Both factors improved for tumors smaller than 5 cm in diameter. Over 60% of the patients who underwent conventional surgery stated that they would have selected VANS, had it been available. Postoperative pain was worse after conventional surgery than after VANS, but neck numbness after VANS was more frequent than expected. Conclusions The VANS method is a feasible, safe, and cost-effective procedure with clear cosmetic advantages over conventional surgery.

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