Endoscopic thyroidectomy using the EZ-VANS method
| Autor: | Yutaka Shimada, Kazuhiro Tsukada, Isaya Hashimoto, Tomoyuki Okumura, Takuya Nagata, Takeshi Miwa, Hirofumi Kojima |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Video-Assisted Surgery Cervical collar incision 030230 surgery 03 medical and health sciences 0302 clinical medicine Blood loss Surgical oncology medicine Operating time Humans Robotic surgery Thyroid Neoplasms Thyroid tumors Neoplasm Staging business.industry Thyroid Endoscopy General Medicine Middle Aged Surgery Treatment Outcome medicine.anatomical_structure 030220 oncology & carcinogenesis Endoscopic thyroidectomy Quality of Life Thyroidectomy Female business |
| Zdroj: | Surgery Today. 46:575-582 |
| ISSN: | 1436-2813 0941-1291 |
| DOI: | 10.1007/s00595-015-1209-0 |
| Popis: | Several video-assisted and robotic surgery techniques have been reported for resection of the thyroid and parathyroid glands. Our institute has started performing endoscopic thyroidectomy using the Lap-protector and E·Z-access system, referred to as E·Z-access using video-assisted neck surgery (EZ-VANS). In this report, we evaluate the safety and efficacy of this technique. From January 2007 to September 2014, 110 patients underwent resection of a primary thyroid tumor, 73 who underwent a cervical collar incision (the Open group) and 37 underwent EZ-VANS (the EZ-VANS group). The average operating time was 159 and 172 min in the Open group and EZ-VANS group, respectively; the amount of blood loss was 46.5 and 54.7 ml, respectively; and the length of hospital stay after surgery was 4.3 and 5.2 days, respectively, with no significant differences observed between the two groups. The learning curve for the EZ-VANS technique was shorter than for open surgery. We confirmed that the EZ-VANS technique is a safe and useful method for resection of benign and early malignant thyroid tumors. |
| Databáze: | OpenAIRE |
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