Saratov JOURNAL of Medical and Scientific Research

Experience of endovideosurgical hemithyroidectomy use for patients with benign thyroid diseases

Year: 2019, volume 15 Issue: №2 Pages: 290-295
Heading: Surgery Article type: Original article
Authors: Vertyankin S.V., Turlykova I.A., Meshcheryakov V.L., Grekov V.V., Chupakhin N.V., Vanzha Ya.E., Ivanova V.A., Zhurkin K.I..
Organization: Saratov State Medical University
Summary:

Objective: development and assessment of the way of an endoscopic hemithyroidectomy improving visualization of anatomical structures and excluding «the confict of tools». Material and Methods. Results of treatment of 103 patients who transferred hemithyroidectomy from endoscopic and traditional approaches to the period from 2014 to 2018 on the basis of the Hospital of S. R. Mirotvortsev (Saratov) are analyzed. According to access option patients were divided into 2 groups. The compression syndrome, functional autonomy of a thyroid gland and results of a puncture biopsy were indications to operation. Results. Unilateral paresis of a throat is diagnosed for 1 patient after traditional intervention, stopped within 1.5 months, after an endovideosurgical hemithyroidectomy — for 3 patients, and was stopped in terms from 7 days up to 1.5 months. Signs of hypoparathyrosis were not found in the groups of patients. The complications connected with administration of carbon dioxide did not arise. Conversionwas not required in any case. Conclusion. Development and assessment of a new way of an endoscopic hemithyroidectomy which is feasible, safe and provides high degree of esthetic result.

Bibliography:
1 Maystrenko NA. Minimally invasive surgery of a thyroid gland. International research journal 2017; 55 (1): 144–51
2 Tan CTK, Cheah WK, Delbridge L. «Scarless» (intheneck) endoscopic thyroidectomy (SET): an evidence- based review of published techniques. World Journal of Surgery 2008; 32 (7): 1349–57
3 Chand G, Agarwal A. Endoscopic thyroid surgery through breast and axillary approach. World Journal of Endocrine Surgery 2013; 5 (3): 85–8
4 Park YL, Han WK, Bae WG. 100 cases of endoscopic thyroidectomy: breast approach. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 2003; 13 (1): 20–5
5 Choe JH, Kim SW, Chung K-W, et al. Endoscopic thyroidectomy using a new bilateral axillo-breast approach. World Journal of Surgery 2007; 31 (3): 601–6
6 Shimazu K, Shiba E, Tamaki Y, Takiguchi S, Taniguchi E, Ohashi S, Noguchi S. Endoscopic thyroid surgery through the axillo-bilateral-breast approach. Surgical Laparoscopy Endoscopy & Percutaneous Techniques 2003; 13 (3): 196–201
7 Ohgami M, Ishii S, Arisawa Y, et al. Scarless endoscopic thyroidectomy: breast approach for better cosmesis. Surgical Laparoscopy Endoscopy 2000; 10: 1–4
8 Ikeda Y, Takami H, Niimi M, et al. Endoscopic thyroidectomy by the axillary approach. Surg Endosc 2001; 15: 1362–64
9 Lee KE, Kim HY, Park WS, et al. Postauricular and Axillary Approach Endoscopic Neck Surgery: A New Technique. World J Surg 2009; 33: 767
10 Emelianov SI, Kurganov IA, Kolesnikov MV, et al. Axillary-retroauricular endosurgical approachfor thyroid surgeries. Endoscopic surgery 2013; 2: 42–7
11 Belcevich DG, et al. Clinical guidelines of Russian Assosiation of Endocrinilogists on diagnosis and treatment of (multi) nodular goiter 2015 Endocrine surgery 2016; 10 (1): 5–12
12 Semkina GV, Abrosimov AYu, Abdulhabirova FM, Vanushko VE. Assessment of results of repeated FNA at patients with a nodular colloid goiter (analysis of own data and review of literature). Clinical and experimental thyroidology 2014; 10 (2): 32–7
13 Trocar for endoscopic surgery of thyroid gland: Pat. 185840 Rus. Federation, IPC A61B 17 / 34 / Vertyankin SV, Turlykova IA, Meshcheryakov VL et al.; applicant and patent holder Vertyankin SV, Turlykova IA, Meshcheryakov VL; №2018105997; appl. 16.02.2018; pub. 19.12.2018, Bul. №35. 7 p.
14 Vertyankin SV, Meshcheryakov VL, Cholahyan AV, Grekov VV. Features of videoendosurgical interventions at diseases of a thyroid gland. In: Innovative technologies in endocrinology: The collection of theses of the 3d Russian endocrinological congress with the international participation, 2017; p. 335–6
15 Makaryin VA, et al. Intraoperative neuromonitoring during surgical interventios on thyroid and parathyroid glands: indications to carrying out, a performance technique. Endocrine surgery 2016; 10 (2): 5–16
16 Kukhtenko YuV, Shulutko AM, Semikov VI, et al. Structure of thyroid gland diseases at patients of various age groups. VolgGMU bulletin 2016; 3: 59
17 Choi JY, Lee KE, Chung KW, et al. Endoscopic thyroidectomy via bilateral axillo-breast approach (BABA): review of 512 cases in a single institute. Surgical Endoscopy 2012; 26: 948
18 Tan Z, Gu J, Han QB, et al. Comparison of conventional open thyroidectomy and endoscopic thyroidectomy via breast approach for papillary thyroid carcinoma. International Journal of Endocrinology 2015; Article ID 239610: 5 p. 19 Choe JH, Kim SW, Chung KW, et al. Endoscopic thyroidectomy using a new bilateral axillo-breast approach. World Journal of Surgery 2007; 31: 601

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