Application of fibrin sealant in drain-free transoral endoscopic thyroidectomy vestibular approach.

IF 1.4 Q2 MEDICINE, GENERAL & INTERNAL

Tzu Chi Medical Journal Pub Date : 2024-08-19 eCollection Date: 2025-01-01 DOI:10.4103/tcmj.tcmj_41_24

Wei-Chieh Lin, Ciou-Nan Ye, Chung-Ching Lin, Pornpeera Jitpratoom, Hung-Pin Wu, Yi-Fan Chou

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引用次数: 0

Abstract

Objective: The transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a minimally invasive technique. This study aimed to compare the safety of TOETVA with fibrin sealant (Tisseel) and TOETVA with drainage.

Materials and methods: Patients who underwent TOETVA between January 2018 and December 2021 were divided into drainage (n = 20) and Tisseel (n = 30) groups.

Results: The primary outcome was the incidence of complications. The secondary outcomes were operative time and postoperative pain. There were no significant differences in patient demographics, tumor size, intraoperative blood loss, and hospitalization days between the two groups. No patient required conversion to open thyroidectomy. The incidence of complications and postoperative pain was similar in the two groups. The operative time for TOETVA with Tisseel was significantly shorter than for TOETVA with drainage (P = 0.038).

Conclusion: TOETVA with Tisseel is a safe alternative to TOETVA with drainage, having a short operative time.

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来源期刊

Tzu Chi Medical Journal MEDICINE, GENERAL & INTERNAL-

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

13 weeks

期刊介绍： The Tzu Chi Medical Journal is the peer-reviewed publication of the Buddhist Compassion Relief Tzu Chi Foundation, and includes original research papers on clinical medicine and basic science, case reports, clinical pathological pages, and review articles.