The learning curve for gasless transaxillary posterior endoscopic thyroidectomy for thyroid cancer: a cumulative sum analysis

Chen, Weisheng; Yu, Shitong; Sun, Baihui; Wu, Cangui; Li, Tingting; Dong, Shilin; Ge, Jun-Na; Lei, Shangtong

doi:10.1007/s13304-023-01492-w

Cited by 3 publications

(2 citation statements)

References 36 publications

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“…The procedure of endoscopic TT + BCND was similar to endoscopic thyroid lobectomy, as we described [ 9 , 10 ]. The main element of technique is to use a specially designed retractor to pull the thyroid and surrounding tissue upwardly.…”

Section: Methodsmentioning

confidence: 99%

“…Based on our previous studies [ 9 , 10 ], we described a posterior approach for endoscopic unilateral thyroidectomy and central neck dissection. To expand its indication to bilateral lesions, especially those that need bilateral central neck dissection, we proposed a modified surgical technique, making endoscopic total thyroidectomy (TT) and bilateral central neck dissection (BCND) a more feasible method.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A modified, single-incision, gasless, endoscopic thyroidectomy and bilateral central neck dissection via axillary approach technique for bilateral papillary thyroid microcarcinoma: A preliminary report

Yu,

Ge,

Sun

et al. 2024

Heliyon

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A modified, single-incision, gasless, endoscopic thyroidectomy and bilateral central neck dissection via axillary approach technique for bilateral papillary thyroid microcarcinoma: A preliminary report

Yu,

Ge,

Sun

et al. 2024

Heliyon

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A propensity score matching analysis of gasless endoscopic transaxillary thyroidectomy with five-settlement technique versus conventional open thyroidectomy in patients with papillary thyroid microcarcinoma

Ge,

Yu,

Tan

et al. 2023

Surg Endosc

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Patient satisfaction and operator proficiency in gasless transaxillary endoscopic thyroidectomy under IONM: a retrospective cohort study

Zhang,

Zhao,

Tang

et al. 2024

Front. Endocrinol.

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BackgroundThis study aims to evaluate the surgical safety and effectiveness of gasless transaxillary endoscopic thyroidectomy (GTET), assess patients’ short-term perceptions and long-term outcomes, and delineate the learning curve and key surgical techniques of the operators.Materials and methodsClinicopathological and postoperative follow-up data from patients with unilateral thyroid cancer in the same period were collected. These patients were divided into the GTET group and the traditional open surgery group to compare and analyze the differences and explore the factors affecting the learning curve of GTET.ResultsPatients who chose GTET had better general health and thyroid conditions than those in the open group, and the quality of postoperative life was better in the GTET group than in the open group, with the main differences between the two groups being appearance and neck and shoulder function. The GTET learning curve in this study peaked at 19 cases, with slight differences between left and right, and a larger sample size is still needed to explore the factors affecting the learning curve.ConclusionsGTET has a reliable safety and efficacy profile for patients with unilateral thyroid cancer. Intraoperative nerve monitoring (IONM) techniques require some adaptation in GTET. In some respects, patients’ postoperative experience and quality of life are superior to those of conventional open surgery. There is a learning curve for GTET, but large samples are still needed to explore its true significance.

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The learning curve for gasless transaxillary posterior endoscopic thyroidectomy for thyroid cancer: a cumulative sum analysis

Cited by 3 publications

References 36 publications

A modified, single-incision, gasless, endoscopic thyroidectomy and bilateral central neck dissection via axillary approach technique for bilateral papillary thyroid microcarcinoma: A preliminary report

A modified, single-incision, gasless, endoscopic thyroidectomy and bilateral central neck dissection via axillary approach technique for bilateral papillary thyroid microcarcinoma: A preliminary report

A propensity score matching analysis of gasless endoscopic transaxillary thyroidectomy with five-settlement technique versus conventional open thyroidectomy in patients with papillary thyroid microcarcinoma

Patient satisfaction and operator proficiency in gasless transaxillary endoscopic thyroidectomy under IONM: a retrospective cohort study

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