scholarly journals Minimally Invasive Video-Assisted versus Minimally Invasive Nonendoscopic Thyroidectomy

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Zdeněk Fík ◽  
Jaromír Astl ◽  
Michal Zábrodský ◽  
Petr Lukeš ◽  
Ilja Merunka ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Prospective Study ◽  
Surgical Procedures ◽  
Thyroid Surgery ◽  
Laryngeal Nerve ◽  
Postoperative Course ◽  
Advantages And Disadvantages ◽  
Video Assisted ◽  
Minimally Invasive Thyroid Surgery ◽  
Feasible Alternative

Minimally invasive video-assisted thyroidectomy (MIVAT) and minimally invasive nonendoscopic thyroidectomy (MINET) represent well accepted and reproducible techniques developed with the main goal to improve cosmetic outcome, accelerate healing, and increase patient’s comfort following thyroid surgery. Between 2007 and 2011, a prospective nonrandomized study of patients undergoing minimally invasive thyroid surgery was performed to compare advantages and disadvantages of the two different techniques. There were no significant differences in the length of incision to perform surgical procedures. Mean duration of hemithyroidectomy was comparable in both groups, but it was more time consuming to perform total thyroidectomy by MIVAT. There were more patients undergoing MIVAT procedures without active drainage in the postoperative course and we also could see a trend for less pain in the same group. This was paralleled by statistically significant decreased administration of both opiates and nonopiate analgesics. We encountered two cases of recurrent laryngeal nerve palsies in the MIVAT group only. MIVAT and MINET represent safe and feasible alternative to conventional thyroid surgery in selected cases and this prospective study has shown minimal differences between these two techniques.

scholarly journals Laryngeal Nerve Monitoring and Minimally Invasive Thyroid Surgery

2007 ◽  
Vol 133 (12) ◽  
pp. 1254 ◽  
Author(s):  
David J. Terris ◽  
Susan K. Anderson ◽  
Tammara L. Watts ◽  
Edward Chin
Keyword(s):  
Minimally Invasive ◽  
Thyroid Surgery ◽  
Laryngeal Nerve ◽  
Nerve Monitoring ◽  
Minimally Invasive Thyroid Surgery

scholarly journals ENDOSCOPIC TECHNOLOGIES IN THYROID SURGERY: INTERNATIONAL AND OWN EXPERIENCE

2021 ◽  
Vol 19 (5) ◽  
pp. 557-563
Author(s):  
I. L. Radievski ◽  
◽  
L. I. Danilova ◽  
Keyword(s):  
Thyroid Gland ◽  
Minimally Invasive ◽  
Thyroid Surgery ◽  
Surgical Intervention ◽  
Development Economic ◽  
Surgical Trauma ◽  
Main Task ◽  
Recurrent Nerve ◽  
Advantages And Disadvantages ◽  
Minimally Invasive Thyroid Surgery

Topicality. With the development of endoscopic technology, minimally invasive interventions on the thyroid gland have been widely developed. The introduction of minimally invasive techniques into practice is associated with the desire to improve the cosmetic effect and reduce surgical trauma for patients. The aim: to study the most popular techniques used in minimally invasive thyroid surgery, to show the advantages and disadvantages of each technique, the likelihood of one or another postoperative complication depending on the method of surgical intervention on the thyroid gland. Material and methods: Among minimally invasive interventions, mini-approaches have become widespread: axillary, anterior thoracic, paraareolar, posterior, transoral. When performing video-assisted surgical interventions, an endoscopic stand, a standard set of instruments (clamps and scissors for endoscopic operations), retractors for creating an operating space are used. Results: Criteria for a differentiated approach to the choice of the method of minimally invasive surgical intervention on the thyroid gland have been substantiated. The main task when choosing a method of surgical intervention is its simplicity, the possibility of rapid development, economic efficiency, and safety. Conclusions: Ensuring the safety and correct technique of performing surgery with mandatory monitoring of the recurrent nerve, visualization of the parathyroid glands made it possible to obtain good clinical results in patients with this pathology.

scholarly journals Identifying Recurrent Laryngeal Nerve in Thyroid Surgery Using Relationship with Superior Parathyroid Gland and Tubercle of Zuckerkandl

2015 ◽  
Vol 23 (3) ◽  
pp. 99-103
Author(s):  
Somesh Mozumder ◽  
Shirish Dubey ◽  
Aniruddha Dam ◽  
Anup Kumar Bhowmick
Keyword(s):  
Prospective Study ◽  
Recurrent Laryngeal Nerve ◽  
Parathyroid Gland ◽  
Thyroid Surgery ◽  
Intimate Relationship ◽  
Laryngeal Nerve ◽  
Laryngeal Nerves ◽  
Recurrent Laryngeal Nerves ◽  
A Prospective Study ◽  
Relationship Of

Introduction: Recurrent laryngeal nerves (RLN) are particularly prone to injury during thyroid surgeries due to its intimate relationship and proximity with the gland. Zuckerkandl’s tubercle (ZT) helps in preserving RLN intra operative. Material and Methods: A prospective study for identifying RLN in thyroid surgery using relationship with superior parathyroid gland and tubercle of Zuckerkandl was conducted on 50 thyroidectomy patients between August 2013 and February 2014. Results: In all cases ZT was identified. Temporary paralysis of RLN was seen in 3 (6%) cases and permanent paralysis in 2 (4%) of cases. Discussion: The site of greatest risk during thyroidectomy to the RLN is in the last 2-3 cm extralaryngeal course of the nerve. Relationship of recurrent laryngeal nerve with superior parathyroid gland and tubercle of Zukerkandl (ZT) is known. Conclusion: Use of ZT and superior parathyroids as a landmark allows safe dissection of RLN.

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