Title |
Minimally invasive endoscopic thyroid surgery using a collar access: experience in 246 cases with the CEViTS technique
|
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Published in |
Surgical Endoscopy, September 2017
|
DOI | 10.1007/s00464-017-5783-7 |
Pubmed ID | |
Authors |
Franz G. Messenbaeck, Michael Weitzendorfer, Cornelia Kaminski, Kai Witzel |
Abstract |
The arguments for applying minimally invasive techniques are, besides cosmetic results, reduced access trauma and less postoperative pain. In thyroid surgery, cosmetic aspects are gaining importance. Whether minimally invasive endoscopic thyroid surgery is less painful has not been shown yet. In this study, we analyse the outcome of 246 patients who underwent cervical endoscopic video-assisted thyroid surgery (CEViTS) regarding the surgery itself, their postoperative pain and satisfaction with the procedure. CEViTS is routinely performed in our hospital. In this study, no postoperative bleedings that would have made a reoperation necessary occurred. All lobectomies could be completed endoscopically. In two cases, conversions (enlargement of the 5-mm incision to 25 mm) were necessary. Transient nerve palsy was registered in three patients (1.22%). One patient (0.41%) had a permanent palsy of the recurrent laryngeal nerve. In comparison to open surgery (n = 173 patients), the 246 CEViTS patients had a significantly lower pain level (p = 0.047). Cervical endoscopic video-assisted thyroid surgery (CEViTS) can be considered a safe, less traumatizing and useful minimally invasive procedure in endoscopic thyroid surgery. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Germany | 1 | 20% |
South Africa | 1 | 20% |
United States | 1 | 20% |
Unknown | 2 | 40% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 40% |
Practitioners (doctors, other healthcare professionals) | 2 | 40% |
Science communicators (journalists, bloggers, editors) | 1 | 20% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 11 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 3 | 27% |
Student > Bachelor | 2 | 18% |
Unspecified | 1 | 9% |
Student > Doctoral Student | 1 | 9% |
Lecturer > Senior Lecturer | 1 | 9% |
Other | 0 | 0% |
Unknown | 3 | 27% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 2 | 18% |
Unspecified | 1 | 9% |
Agricultural and Biological Sciences | 1 | 9% |
Biochemistry, Genetics and Molecular Biology | 1 | 9% |
Psychology | 1 | 9% |
Other | 1 | 9% |
Unknown | 4 | 36% |