Initial Experience of Endoscopic Thyroidectomy Using Bilateral Axillary Breast and Transoral Vestibular Approach in Georgia
10.7602/jmis.2020.23.3.126
- Author:
Jae Cheol JUNG
1
;
Giorgi CHANTLADZE
;
Vladimer KHAREBADZE
;
Jong-Hyuk AHN
;
Jae Hwan KIM
;
Jin Wook YI
;
Edisher SIKHARULIDZE
Author Information
1. Department of Surgery, Inha University Hospital, Inha University College of Medicine, Incheon, Korea
- Publication Type:Original Articles
- From:Journal of Minimally Invasive Surgery
2020;23(3):126-133
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:Remote access thyroid surgery using a bilateral axillary breast approach (BABA) or a transoral endoscopic thyroidectomy vestibular approach (TOETVA) are increasingly performed worldwide. In the Caucasus, these methods were first applied in the Republic of Georgia. This study compares these two methods of endoscopic thyroid surgery performed on patients in a tertiary hospital in Tbilisi, Georgia.
Methods:Between December 2015 and January 2018, 41 patients underwent endoscopic thyroid surgery at the Aversi Clinic, including 32 who underwent BABA endoscopic thyroidectomy for benign nodules and nine who underwent TOETVA for thyroid cancers. Patients’ medical records were retrospectively reviewed.
Results:Tumors were significantly larger (2.38±0.38 cm versus 1.70±0.31 cm, p value <0.001), operation time was significantly longer (177.66±21.02 min versus 116.66±5.59 min, p value <0.001), and blood loss was significantly greater (149.07±28.10 ml versus 102.22±8.33 ml, p value <0.001) in patients who underwent BABA than TOETVA. There were no significant differences in postoperative complications between the two groups.
Conclusion:Remote access thyroid surgery, either BABA or TOETVA, was successfully started, without harmful complications, at the Aversi Clinic in Tbilisi, Georgia. BABA is suitable for large sized benign nodules and TOETVA for thyroid cancers with central lymph node dissection.
