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Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
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A novel surgery technique: non-visual dissection for establishing the operating space during total endoscopic
Chunxiao Yang1, Yingluan Wang2
1Linzi District People's Hospital, Zibo, China. ytzhhzln@sina.com.
Surgical Endoscopy
|June 2, 2017
Summary
Non-visual dissection for endoscopic thyroidectomy significantly reduces operative time and flap size compared to traditional methods. This technique enhances efficiency and patient outcomes in thyroid surgery.
Area of Science:
- Minimally Invasive Surgery
- Endoscopic Procedures
- Surgical Techniques
Background:
- Total endoscopic thyroidectomy via the areola approach offers good cosmetic results.
- Disadvantages include large free flaps and extended operative times.
Purpose of the Study:
- To evaluate the efficacy of non-visual dissection for creating an operative space in endoscopic thyroidectomy.
- To compare operative times and flap size with traditional methods.
Main Methods:
- Retrospective analysis of 72 patients with benign thyroid nodules.
- Utilized non-visual dissection to establish the surgical workspace.
- Measured time to create operative space, overall surgical time, and flap area.
Main Results:
- Non-visual dissection took 6.43 ± 0.94 min to create chest space and 15.35 ± 1.52 min for overall space.
- Overall surgical time averaged 96.54 ± 19.32 min.
- Flap area was reduced to 30.25 ± 3.42 cm².
Conclusions:
- Non-visual dissection shortens operative time and reduces flap area in endoscopic thyroidectomy.
- This technique offers a novel approach to establishing the surgical workspace.
- The method demonstrates improved efficiency and potentially better patient recovery.
