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Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
Published on: September 15, 2023
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Subcutaneous dissection area contributes less to endoscopic thyroidectomy-related invasiveness
Wei Zhang1, Qing-Hua Wu2, Zhi-Guo Jiang1
1Department of General Surgery of Changzheng Hospital Affiliated to Second Military Medical University, No. 415 Fengyang road, Shanghai, 200003, China.
Surgical Endoscopy
|January 9, 2016
Summary
The subcutaneous area has a minor role in postoperative pain following breast approach endoscopic thyroidectomy (BAET). This randomized controlled trial (RCT) found no significant pain differences between standard and limited dissection techniques.
Area of Science:
- Endocrine Surgery
- Minimally Invasive Surgery
Background:
- Breast approach endoscopic thyroidectomy (BAET) is a minimally invasive technique.
- The extent of subcutaneous dissection in BAET and its impact on outcomes require clarification.
Purpose of the Study:
- To determine the contribution of the subcutaneous area during BAET to invasiveness-related outcomes.
- To compare postoperative pain and inflammatory response between standard and limited subcutaneous dissection.
Main Methods:
- A randomized controlled trial (RCT) involving 72 patients undergoing BAET.
- Patients were assigned to either standard dissection or limited dissection groups.
- Postoperative pain (VAS score) and inflammatory markers were compared.
Main Results:
- The standard dissection group had a significantly larger subcutaneous dissection area (137.11 cm²) compared to the limited dissection group (83.69 cm²).
- No significant differences were observed in VAS scores or postoperative inflammatory response between the two groups.
Conclusions:
- The subcutaneous dissection area plays a less significant role in BAET-related postoperative pain.
- Limited subcutaneous dissection may be a viable approach in BAET without compromising pain management.
