医学
外科
前庭系统
甲状腺切除术
甲状腺癌
喉返神经
下巴
甲状腺
精神神经
放射科
解剖
内科学
作者
Zhen-Xin Chen,Feng-Shun Pang,Jing-Bao Chen,Jie-Min Deng,Ying Cao,Xiaobo Zhang,Zhan-Hong Lin,Bei-Yuan Cai,Li-Ming Yang,You Qin
出处
期刊:Journal of Laparoendoscopic & Advanced Surgical Techniques
[Mary Ann Liebert]
日期:2023-04-01
卷期号:33 (4): 370-374
标识
DOI:10.1089/lap.2022.0456
摘要
Background: The transoral endoscopic thyroidectomy by vestibular approach (TOETVA) has been developed for papillary thyroid carcinoma (PTC) treatment with satisfactory results. However, there were few malignant thyroid nodules ≥2 cm in previous studies of TOETVA. Therefore, we conducted this study to evaluate the results of treatment by TOETVA for PTC with tumor size ≥2 cm. Materials and Methods: The clinical characteristics and surgical outcomes of 10 PTC patients with tumor size ≥2 cm who underwent TOETVA in our center from June 2018 to August 2021 were, respectively, reviewed. Results: All 10 included PTC patients successfully underwent TOETVA and the mean tumor size was 2.5 ± 0.5 cm. The mean number lymph nodes dissected was 9.6 ± 2.9, and 3.1 ± 3.3 positive lymph nodes were discovered. Postoperatively, transient hypoparathyroidism was recorded in 2 patients (20%), transient recurrent laryngeal nerve injury was noted in 1 patient (10%), transient superior laryngeal nerve injury was noted in 1 patient (10%), and numb chin was identified in 1 patient (10%). The postoperative complications aforementioned recovered within 6 months. During a median follow-up of 23.8 ± 13.1 months, no other complications or tumor recurrence were found. Conclusions: TOETVA is feasible for PTC patients with tumor size ≥2 cm and satisfactory short-term surgical outcomes have achieved in this study. We suggested that experienced surgeons can gradually expand the indications for TOETVA.
科研通智能强力驱动
Strongly Powered by AbleSci AI