Transareola Single-Site Laparoendoscopic Bilateral Thyroidectomy

ZhuGuanghui,; ZhangMing,; ZhangXueli,; ZhouLianming,; WangShiguang,; TangZhiqiang,; ShanYuanzhou,

doi:10.1089/lap.2013.0494

Cited by 4 publications

(3 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Regardless of gas insufflation, successful thyroidectomy has been performed by endoscopic thyroidectomy via a single port (12,22). The da Vinci SP system (Intuitive Surgical Inc., Goleta, CA, USA) was recently introduced for robot-assisted thyroidectomy; however, it seems difficult to replace the current robot-assisted surgery systems immediately.…”

Section: Discussionmentioning

confidence: 99%

Novel robot-assisted thyroidectomy by a transaxillary gas-insufflation approach (TAGA): a preliminary report

et al. 2020

View full text Add to dashboard Cite

Background: Robot-assisted transaxillary approaches to thyroidectomy have been well described. They have an advantage over the breast approach in that a circumareolar incision is avoided. However, they require a single long axillary incision to accommodate all 3 robotic arms and provide adequate visualization of the area around the thyroid. The purpose of this study was to test the feasibility of the robot-assisted transaxillary gas-insufflation approach (TAGA) and to attempt reducing the size of the scar.Methods: We evaluated 47 patients who underwent robot-assisted thyroid lobectomy via TAGA from July 2015 to Aug 2017. The following variables were studied: patients' demographics, operative time according to each operation step, volume of drainage, duration of hospitalization, and perioperative complications. Results:The mean age of all patients was 42.4±9.1 years. The mean total volume of drainage was 195.4±70.9 mL, and the duration of postoperative stay was 3.0±1.1 days. Two cases (4.3%) of transient vocal cord palsy and 2 cases (4.3%) of seroma were identified postoperatively. There was no post-operative cosmetic problem at the skin incisions made in the axilla.Conclusions: Robot-assisted thyroid lobectomy via TAGA is technically feasible while achieving good cosmetic results. TAGA can be an alternative robot-assisted method for thyroidectomy.

show abstract

Section: Discussionmentioning

confidence: 99%

Novel robot-assisted thyroidectomy by a transaxillary gas-insufflation approach (TAGA): a preliminary report

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Notably, endoscopic thyroidectomy demonstrates a clear advantage in terms of cosmetic outcomes when compared to conventional open thyroidectomy, although the methods of assessment may vary across different research articles. The visual analog scale is frequently employed for evaluating cosmetic outcomes, relying on patients’ subjective perceptions [ 18 – 23 ]. The Vancouver Scar Scale (VSS) and Scar Cosmesis Assessment and Rating (SCAR) are commonly used as objective methods to assess scarring [ 24 – 26 ].…”

Section: Introductionmentioning

confidence: 99%

Advances in the assessment of cosmetic outcomes, sensory alteration in surgical areas, and health-related quality of life of endoscopic thyroidectomy

Zhou,

Zhang,

Dou

et al. 2024

World J Surg Onc

View full text Add to dashboard Cite

Background Endoscopic thyroidectomy has been preliminarily proven effective and safe for thyroid diseases. The cosmetic outcomes and life quality are critical contents of postoperative assessment. This review will primarily focus on the assessment methods and results related to cosmetic outcomes, sensory alteration of surgical area, and quality of life following endoscopic thyroidectomy. Methods A comprehensive search of published articles within the last decade was conducted using the terms “endoscopic/robotic thyroidectomy,” “patient satisfaction scores,” “questionnaire,” “quality of life,” and “cosmetic” in PubMed. Results Assessment methods for postoperative cosmetic satisfaction and sensory alterations encompassed verbal/visual analog scales, scar evaluations, Semmes–Weinstein monofilament tests, and more. The evaluation of postoperative quality of life in endoscopic thyroidectomy involved tools such as SF-36, SF-12, thyroid-specific questionnaires, thyroid cancer-specific quality of life questionnaires (THYCA-QOL), as well as assessments related to voice and swallow function. The cosmetic results of endoscopic thyroidectomy generally surpassed those of open thyroidectomy, while the quality of life in endoscopic procedures was either superior or equivalent to that in open thyroidectomy, especially with respect to general health, role emotion, and vitality. Conclusions Assessments of cosmetic outcomes and sensory alterations following endoscopic thyroidectomy predominantly relied on patients’ subjective feelings. The objective and subjective perspectives of scar assessments remain underutilized. In addition, postoperative laryngoscopy and voice function assessments in endoscopic thyroidectomy procedures require more attention.

show abstract

“…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.…”

mentioning

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

View full text Add to dashboard Cite

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.

show abstract

Transareola Single-Site Laparoendoscopic Bilateral Thyroidectomy

Abstract: Transareola single-site endoscopic bilateral thyroidectomy is feasible and safe and has the advantages of high cosmetic satisfaction.

Cited by 4 publications

References 16 publications

Novel robot-assisted thyroidectomy by a transaxillary gas-insufflation approach (TAGA): a preliminary report

Novel robot-assisted thyroidectomy by a transaxillary gas-insufflation approach (TAGA): a preliminary report

Advances in the assessment of cosmetic outcomes, sensory alteration in surgical areas, and health-related quality of life of endoscopic thyroidectomy

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

Contact Info

Product

Resources

About