Novel suspension system for gasless transoral vestibular thyroidectomy

Jin-xi, Jiang; He, Guannan; Chu, Junjie; Li, Jianbo; Lü, Xiaoxiao; Zhang, Deguang

doi:10.1007/s00464-022-09528-9

Cited by 8 publications

(6 citation statements)

References 16 publications

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“…In 2022, Jiang et al introduced a new suspension system for a non-inflatable transoral vestibule. The system utilizes three suspension hooks of different lengths to maintain the operative space [13]. However, it is limited to maintaining the operative space only in a vertical position, and the hooks are fixed.…”

Section: Discussionmentioning

confidence: 99%

“…Our patient experienced temporary postoperative hypoparathyroidism in only one case (1.41%), which is significantly lower than the 12% reported in previous studies on transoral endoscopic thyroid surgery. This is largely due to the clear operative field and adequate exposure of the parathyroid glands using the pull hook [13]. For our procedure, we opted for a single incision submental approach.…”

Section: Discussionmentioning

confidence: 99%

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Complete submental single-port suspended endoscopic thyroid cancer surgery

Xing,

Yu,

et al. 2023

Preprint

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Background Our team has developed a novel surgical method called 'Completely Submental Single-Port Suspended Thyroid Cancer Surgery' based on various endoscopic thyroid surgery techniques. Additionally, we have created a new set of endoscopic instruments for submental single-port suspended endoscopic thyroidectomy. In this essay, we present our initial experience with a new type of endoscopic thyroid device and evaluate its effectiveness and safety. Methods This study reports on the use of a novel endoscopic thyroidectomy instrument for performing submental single-port suspended endoscopic thyroidectomy. We summarize our experience with the procedure and present the collected clinical data. Results Of the 71 eligible patients underwent thyroid gland lobectomy (55 women [77.5%]; median [IQR] age, 35 [29–41] years), with 64 having a unilateral procedure and 7 having bilateral. Of the total, 7 patients experienced postoperative hoarseness of the voice, which resolved within 3 months. One patient experienced transient hypoparathyroidism, while 3 patients reported subjective sensations of numbness or tingling in the neck. Conclusion Submental single-port suspended endoscopic thyroidectomy is a safe and feasible surgical treatment option, especially when combined with new endoscopic thyroid instrumentation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Complete submental single-port suspended endoscopic thyroid cancer surgery

Xing,

Yu,

et al. 2023

Preprint

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“…Nowadays, many surgeons have made efforts and attempts to perform air-free TOETVA.In recent years, Fang [9] et aldesigned their own trocar and suspension system for TOETVA treatment without in ation.Their newly designed trocar removes the anti-leak valve, reduces the outer diameter, in order to reduce the interference of instruments during the operation, speeds up the air circulation, and improves the clarity of the operation space.And its suspension system uses two 1. 5mm Kirschner wires to penetrate the skin for suspension and xation, which can provide more stability and a wider operating area.Jiang [10] et aldesigned a novel workspace suspension system for airless TOETVA, which consisted of a set of self-developed retractors, sterile bandages, and an anesthesia rack.They hang the retractor directly on the anesthesia rack through a sterile bandage.This system has no special suspension system and is widely used.They also designed three types of retractors with different lengths to adapt to different patient neck lengths and the range of aps that need to be separated, which is very ingenious.But whether this method will affect the function of the lower lip remains to be seen.It is also cumbersome to replace the three lengths of homemade retractors during the cavity construction process, and then adjust the corresponding lengths with sterile gauze to provide appropriate tension.…”

Section: Discussionmentioning

confidence: 99%

Application of Endoscopic Aspirator on Gasless Transoral Endoscopic Vestibular Thyroidectomy

Shao,

Zeng,

et al. 2023

Preprint

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Background Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is gradually becoming mature.At the same time, the disadvantages of CO2 inflatable TOETVA are also widely recognized, and there is no uniform standard alternative.Here, we report our initial experience and discuss the safety and effectiveness of maintaining the operative space with endoscopic suction support in TOETVA. Methods We retrospectively analyzed 60 patients treated with our laparoscopic aspirator-supported TOETVA from March 2022 to June 2023.We extended the three-hole endoscopic suction device from the median incision of the oral vestibule into the operation space, pressed it down, and fixed it to support and maintain the stability of the space.Evaluate its surgical safety and prognosis. Results The study included 60 patients who were treated with endoscopic aspirator-supported TOETVA.The average operation time was 141. 14±36. 15min.The average number of dissected lymph nodes was 4. 67±3. 75.Two of them were converted to laparotomy, and no serious postoperative complications occurred in any of the patients.Postoperative complications included 1 case of transient recurrent laryngeal nerve paralysis, 1 case of transient hypoparathyroidism, and 8 cases of transient lower lip numbness.There was 1 case of postoperative skin injury and 4 cases of postoperative skin ecchymosis.Two cases of temporary loss of smell or taste recovered within 1-3 months.There is no evidence of specific complications associated with the use of suction to support the surgical space. Conclusion The operation space of TOETVA is supported by a laparoscopic suction device, which is easy to operate, convenient to obtain materials, and optimizes the clarity of the surgical field, which has the potential for wide application.

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“…Metodą tyreoidektomii o zwiększającej się popularności jest endoskopowa operacja tarczycy z dostępu przez przedsionek jamy ustnej tzw. (TOETVA -transoral endoscopic thyroidectomy by vestibular approach) [25]. Jest to nowa technika chirurgiczna, stanowiącą realną alternatywę w chirurgii tarczycy z niskim wskaźnikiem powikłań.…”

Section: Leczenie Chirurgiczneunclassified

Hashimoto’s thyroidits and other causes of hypothyrodisim – systematic review

Jurek,

Szumlas,

Mrozek

et al. 2023

J Educ Health Sport

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Introduction and objective: The aim of the study is to summarize the knowledge about hypothyroidism, with particular emphasis on Hashimoto's disease, as its most common cause. Review metods: Literature review of PubMed database using key words contained in ‘Medical Subject Headings’ MeSH. State of Knowledge: Hashimoto's disease is the most common form of thyroiditis, as well as main cause of hypothyroidism. It is an autoimmune disease that leads to gradual fibrosis and atrophy of the thyroid gland. It occurs several times more frequently in women than in men. Treatment mainly involves supplementation of thyroid hormones due to the progressive hypothyroidism. Levothyroxine (L-T4) therapy has a long history of clinical use, a defined pharmacological profile, and is considered as safe treatment of hypothyroidism of the thyroid gland. There are also other, less common causes of hypothyroidism, such as postoperative hypothyroidism, de Quervain's disease, post-radioactive iodine treatment status, drug-induced and central hypothyroidism, which are equally important and should not be forgotten during the diagnostic process. Summary: Hypothyroidism can be caused by various factors, the main being Hashimoto’s thyroiditis. Regardless of the etiology, treatment in most cases involves levothyroxine (LT-4) supplementation, which leads to euthyroidism and resolution of symptoms. Surgery may need to be performed in pateitns who meet the surgical criteria and show unresponsiveness to conservative treatment.

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Novel suspension system for gasless transoral vestibular thyroidectomy

Cited by 8 publications

References 16 publications

Complete submental single-port suspended endoscopic thyroid cancer surgery

Complete submental single-port suspended endoscopic thyroid cancer surgery

Application of Endoscopic Aspirator on Gasless Transoral Endoscopic Vestibular Thyroidectomy

Hashimoto’s thyroidits and other causes of hypothyrodisim – systematic review

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