Totally gasless transoral video-assisted thyroidectomy: initial report of 24 cases

VernacularTitle:免充气经口腔镜甲状腺切除术24例分析
Author: Jing FANG ¹ ; Xucai ZHENG ; Gongpu CHEN ; Song LIU ; Weifang TANG ; Shengying WANG
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1. 中国科学技术大学附属第一医院西区（安徽省肿瘤医院）头颈外科　233004
From: Chinese Journal of Endocrine Surgery 2020;14(1):13-17
CountryChina
Language:Chinese
Abstract: Objective:To evaluate the feasibility of the gasless transoral endoscopic thyroidectomy using an innovative space maintaining method.Methods:From Dec. 2018 to Apr. 2019, patients from Anhui Tumor Hospital treated with gasless transoral endoscopic thyroidectomy were retrospectively analyzed. Index such as intraoperative blood loss, operative time, postoperative hospital stay, and complications were recorded.Results:A total of 24 patients were included into this analysis. All operations were successfully completed. The mean blood loss was (41.3±26.4) ml, operation time was (191.8±40.8) min, postoperative hospital stay was (6.3±1.0) d. Nobody had drinking cough, recurrent laryngeal nerve palsy, massive bleeding, hypoparathyroidism or infection with use of preventive antibacteria. Transient lower jaw numbness was found in 8 patients and almost recovered within one month.Conclusions:Gasless transoral endoscopic thyroidectomy with the suspension device seems to be feasible and safe. Further study is needed to verify its validity.