Advantages of intraoperative nerve monitoring in endoscopic thyroidectomy for papillary thyroid carcinoma.

IF 1.3 Q3 Medicine

Minerva chirurgica Pub Date : 2020-09-25 DOI:10.23736/S0026-4733.20.08317-0

Jiyang Li, Shaoqing Li, Chen Liu, H. Xi, Peifa Liu, Zhi-da Chen, B. Wei, Lin Chen, Z. Qiao

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引用次数: 3

Abstract

BACKGROUND This study aimed to evaluate the feasibility and effectiveness of intraoperative nerve monitoring (IONM) for reducing the recurrent laryngeal nerve (RLN) injury risk during central compartment lymph node dissection in endoscopic thyroidectomy of papillary thyroid carcinoma (PTC). METHODS The prospective cohort consisted of 69 patients diagnosed with PTC undergoing endoscopic thyroidectomy via the areola approach with (n=42) or without IONM (n=27). Multiple logistic regression models were used to assess the association between IONM and postoperative temporary vocal cord palsy or number of retrieved lymph nodes. RESULTS IONM was a protective factor against temporary RLN injury. IONM use was positively correlated with number of retrieved lymph nodes (β=1.563, P=0.003). After adjustment for operation type, the result remained significant (β=1.581, P<0.001). CONCLUSIONS IONM use reduced the risk of temporary vocal cord palsy and increased the number of retrieved lymph nodes in endoscopic thyroidectomy via the areola approach for patients with PTC.

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术中神经监测在内镜甲状腺乳头状癌切除术中的优势。

背景本研究旨在评估术中神经监测（IONM）降低乳头状甲状腺癌（PTC）内镜甲状腺切除术中中央室淋巴结清扫术中喉返神经（RLN）损伤风险的可行性和有效性通过有（n＝42）或没有IONM（n＝27）的乳晕入路。多元逻辑回归模型用于评估IONM与术后暂时性声带麻痹或回收淋巴结数量之间的关系。结果RLN暂时性损伤的保护性因素是M。IONM的使用与回收淋巴结的数量呈正相关（β=1.563，P=0.003）。调整手术类型后，结果仍然显著（β=1.581，P<0.001）。

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来源期刊

Minerva chirurgica 医学-外科

CiteScore

1.40

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Minerva Chirurgica publishes scientific papers on surgery. Manuscripts may be submitted in the form of editorials, original articles, review articles, case reports, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work.