Transareola Single-Site Endoscopic Thyroidectomy: Clinical Study of 28 Cases with Thyroid Nodules

Shan, Yuanzhou; Zhang, Guangjun; Yu, Zhenfeng; Shen, Yanwei; Wang, Shiguang; Jiang, Yeping; Zhang, Xueli

doi:10.1089/lap.2012.0386

Cited by 3 publications

(2 citation statements)

References 15 publications

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“…The TASSET procedure significantly minimized the subcutaneous dissection area, which was similar to that of conventional open surgery. 3 Compared with natural abdominal cavities in LESS laparoscopic cholecystectomy procedures, artificially created workspaces are more limited in TASSET. Thus, collisions between the instrument and camera can be bothersome, and the learning curve with TASSET has its own features.…”

Section: Discussionmentioning

confidence: 99%

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The Learning Curve of Transareola Single-site Laparoendoscopic Thyroidectomy: CUSUM Analysis of a Single Surgeon’s Experience

Gao

Zhang²,

Tang³

et al. 2016

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Background:Transareola single-site laparoendoscopic thyroidectomy (TASSET) is a rapidly advancing minimally invasive procedure. The purpose of this study was to evaluate the learning curve for TASSET.Subjects and Methods:Forty-five consecutive patients were prospectively divided into group 1 (initial phase), group 2 (intermediate phase), and group 3 (advanced phase) according to their surgical order (15 patients in each group). The operative time, operative blood loss, duration of hospital stay, postoperative pain, and postoperative complications were compared using phases.Results:Statistically significant differences were observed in the different learning phases, among operative time (P<0.05), operative blood loss (P<0.05), hospital stay (P<0.05), and postoperative pain (P<0.05). The postoperative complication rate was low (3/45).Conclusions:Learning curve of the TASSET are improved synchronized at different phases and technical indicators. The establishment of operative space take longer time to skilled master.

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Section: Discussionmentioning

confidence: 99%

“…We have documented the use of a TASSET technique. 3 – 5 This study focused on the analysis of a learning curve in an attempt to determine how many surgeries must be performed before a surgeon feels confident and efficient in performing a TASSET. We evaluated the learning curve for TASSET based on a cumulative summation technique.…”

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confidence: 99%

The Learning Curve of Transareola Single-site Laparoendoscopic Thyroidectomy: CUSUM Analysis of a Single Surgeon’s Experience

Gao

Zhang²,

Tang³

et al. 2016

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

Self Cite

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Subcutaneous dissection area contributes less to endoscopic thyroidectomy-related invasiveness

Zhang¹,

Wu²,

Jiang³

et al. 2016

Surg Endosc

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Upgraded bidirectional approach video-assisted neck surgery (BAVANS) using a rigid endoscope with variable viewing direction for advanced endoscopic lymph node dissection in thyroid cancer patients

et al. 2019

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In 2011, we developed bidirectional approach video-assisted neck surgery (BAVANS) for endoscopic thyroid cancer surgery. BAVANS combines two different approach pathways at 180 degrees to the cervical lesion for endoscopic thyroidectomy and complete cervical lymphadenectomy. We reported previously that the cranio-caudal approach is extremely useful for endoscopic complete lymph node dissection around the trachea. In 2014, we upgraded the initial BAVANS for better maneuverability and quality of lymph node dissection. A new high-tech rigid endoscope with a variable viewing direction (EndoCAMeleon™), has enabled us to reduce the camera port in the anterior neck while keeping the easy maneuverability and the same quality of central lymph node dissection (LND) as with the initial BAVANS. Endoscopic thyroid cancer surgery is now evolving concurrently with new visual technology.

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Transareola Single-Site Endoscopic Thyroidectomy: Clinical Study of 28 Cases with Thyroid Nodules

Abstract: Transareola single-site endoscopic thyroidectomy is feasible and safe and has the advantages of a covert incision, small subcutaneous separation area, and high cosmetic satisfaction. The operation time shortens with the increasing number of patients undergoing operations.

Cited by 3 publications

References 15 publications

The Learning Curve of Transareola Single-site Laparoendoscopic Thyroidectomy: CUSUM Analysis of a Single Surgeon’s Experience

The Learning Curve of Transareola Single-site Laparoendoscopic Thyroidectomy: CUSUM Analysis of a Single Surgeon’s Experience

Subcutaneous dissection area contributes less to endoscopic thyroidectomy-related invasiveness

Upgraded bidirectional approach video-assisted neck surgery (BAVANS) using a rigid endoscope with variable viewing direction for advanced endoscopic lymph node dissection in thyroid cancer patients

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