Comparison of Surgical Outcomes of Transoral Versus Open Thyroidectomy for Graves Disease.

IF 1.1 4区医学 Q3 SURGERY

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques Pub Date : 2024-04-01 DOI:10.1097/SLE.0000000000001261

Suo-Hsien Wang, Wu-Po Chao, Ta-You Lo, Soh-Ching Ng, Yu-Hsien Chen

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引用次数: 0

Abstract

Introduction: The transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a safe alternative to thyroidectomy for thyroid goiter and provides the benefit of being scarless. However, the data on the use of TOETVA in patients with Graves disease are limited. This retrospective study compared the outcomes of Graves disease patients who underwent TOETVA versus those who underwent open thyroidectomy (OT).

Materials and methods: Patients with Graves disease who received TOETVA or OT for bilateral total thyroidectomy between September 2017 and October 2022 were included. Patient demographics and surgical outcomes, including operation time, blood loss, length of stay, and complications, were compared.

Results: There were 15 patients in each group. The mean age in the TOETVA group was 35.80±8.13 years, which was significantly younger than that in the OT group, which was 51.53±14.22 years. Females predominated in both groups. The other demographic characteristics were similar in both groups. The operation time and intraoperative blood loss were also comparable. The postoperative stay and complications, including hypoparathyroidism, recurrent laryngeal nerve injury, surgical site infection, postoperative hemorrhage, and recurrence of hyperthyroidism, were not different between the 2 groups. There were 11 patients in the TOETVA group and 10 in the OT group who had thyroglobulin levels <0.1 ng/dL, indicating the completeness of total thyroidectomy in the 2 groups. There was no conversion of TOETVA to an open procedure.

Conclusions: For carefully selected Graves patients, TOETVA offers a safe, scarless, and feasible alternative to conventional open thyroidectomy.

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经口甲状腺切除术与开放式甲状腺切除术治疗巴塞杜氏病的手术效果比较

简介经口内镜甲状腺前庭切除术（TOETVA）是甲状腺切除术治疗甲状腺肿的一种安全替代方法，并且具有无疤痕的优点。然而，在巴塞杜氏病患者中使用TOETVA的数据却很有限。这项回顾性研究比较了接受TOETVA和开放性甲状腺切除术（OT）的巴塞杜氏病患者的治疗效果：纳入2017年9月至2022年10月期间接受TOETVA或OT进行双侧甲状腺全切除术的巴塞杜氏病患者。比较患者的人口统计学特征和手术结果，包括手术时间、失血量、住院时间和并发症：每组各有15名患者。TOETVA组的平均年龄为（35.80±8.13）岁，明显小于OT组（51.53±14.22）岁。两组均以女性为主。两组的其他人口统计学特征相似。手术时间和术中失血量也相当。两组患者的术后住院时间和并发症（包括甲状旁腺功能减退、喉返神经损伤、手术部位感染、术后出血和甲亢复发）无差异。TOETVA组和OT组分别有11名和10名患者出现甲状腺球蛋白水平结论：对于精心挑选的巴塞杜氏患者，TOETVA是一种安全、无疤痕、可行的替代传统开放性甲状腺切除术的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 医学-外科

CiteScore

2.00

自引率

10.00%

发文量

103

审稿时长

3-8 weeks

期刊介绍： Surgical Laparoscopy Endoscopy & Percutaneous Techniques is a primary source for peer-reviewed, original articles on the newest techniques and applications in operative laparoscopy and endoscopy. Its Editorial Board includes many of the surgeons who pioneered the use of these revolutionary techniques. The journal provides complete, timely, accurate, practical coverage of laparoscopic and endoscopic techniques and procedures; current clinical and basic science research; preoperative and postoperative patient management; complications in laparoscopic and endoscopic surgery; and new developments in instrumentation and technology.