Single-incision endoscopic thyroidectomy for papillary thyroid most cancers: A pilot examine.
Int J Surg. 2017 Jul;43:1-6
Authors: Cho J, Park Y, Baek J, Sung Ok
BACKGROUND: Lately, we now have reported single incision endoscopic thyroidectomy utilizing an axillary method with gasoline inflation (SIET) in instances with benign thyroid tumors to scale back post-operative ache and invasiveness of the traditional endoscopic thyroidectomy. The intention of this examine was to current our experiences with SIET for papillary thyroid most cancers (PTC).
METHODS: Sufferers who have been identified with histologically papillary thyroid carcinoma (?1 cm) with single, unilateral, and intra-thyroidal lesion and with out scientific lymph node metastasis have been included. We analyzed clinico-pathological traits, surgical outcomes, and oncologic adequacy of the SIET process.
RESULTS: Between January 2011 and July 2012, a complete of 75 sufferers underwent hemi-thyroidectomy with ipsilateral central lymph node dissection by way of SIET. The imply tumor measurement was zero.5 cm and four.1 ± 2.43 central lymph nodes have been eliminated. Of the sufferers, 98.three% have been glad with their surgical wound post-operatively and no important post-operative problems occurred throughout the examine, aside from one case of post-operative bleeding. There was one case of illness recurrence, which occurred within the contra-lateral cervical lymph node area 6 months after SIET. This affected person underwent completion thyroidectomy with selective neck dissection.
CONCLUSION: The SIET is a secure and acceptable process for PTC with a diminished dissection discipline, much less post-operative ache, and extra beauty satisfaction than typical endoscopic thyroid surgical procedure.
PMID: 28502882 [PubMed – indexed for MEDLINE]