Open vs. Total Endoscopic Approach to the Thyroid

Autor: Simon K. Wright, Eugene H. Chang
Rok vydání: 2008
Předmět:
Zdroj: Otolaryngology–Head and Neck Surgery. 139
ISSN: 1097-6817
0194-5998
DOI: 10.1016/j.otohns.2008.05.137
Popis: Objective1) Learn the TATE approach to the thyroid. 2) Compare open vs. TATE approach.MethodsFrom June 2005 to February 2008, 10 patients underwent TATE procedures for hemi-thyroidectomy with isthmusectomy. We used a control group of 10 consecutive open approaches. Hospital records were reviewed. Postoperatively, patients were asked to rate aspects of their surgery on a scale of 1–5.ResultsThyroid pathology consisted of benign nodules as well as foci of papillary carcinoma in both groups. No patients in the TATE group required conversion to an open approach. The TATE approach to the thyroid gland added 37 minutes on average to the operative time (142 vs 105). The average of the last 5 TATE approaches decreased (114) compared to the first 5 TATE approaches (170). Blood loss was less in the TATE group (10 to 43). Patients expressed a greater satisfaction with the TATE approach for the surgery (1.375 to 1.5) and the incision (1.375 to 1.4). Patients did express greater pain 24 hrs after surgery in the TATE g...
Databáze: OpenAIRE
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