Balloon Dilators for Fast and Safe Flap Dissection in Transoral Endoscopic Vestibular Approach Thyroidectomy Vestibular Approach (TOETVA)

Oh Moon Young; Chai Young Jun; Lee Jung-Man; Dionigi Gianlorenzo; Wu Che-Wei; Kim Hoon Yub; Yu Hyeong Won; Kim Su-Jin; Choi June Young; Lee Kyu Eun

doi:10.16956/jes.2021.21.4.94

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자료유형: 학술저널

저자정보: Oh Moon Young (Department of Surgery Seoul National University College of Medicine Seoul Korea.) Chai Young Jun (Department of Surgery Seoul National University College of Medicine Seoul Metropolitan Government -) Lee Jung-Man (Department of Anesthesiology and Pain Medicine Seoul Metropolitan Government-Seoul National Univers) Dionigi Gianlorenzo (Division of General and Endocrine Surgery Istituto Auxologico Italiano IRCCS Department of Medical) Wu Che-Wei (Department of Otorhinolaryngology-Head and Neck Surgery Kaohsiung Medical University Hospital Kaohs) Kim Hoon Yub (Department of Surgery KUMC Thyroid Center Korea University Anam Hospital Korea University College o) Yu Hyeong Won (Department of Surgery Seoul National University Bundang Hospital Seongnam Korea.) Kim Su-Jin (Department of Surgery Seoul National University College of Medicine Seoul Korea.) Choi June Young (Department of Surgery Seoul National University Bundang Hospital Seongnam Korea.) Lee Kyu Eun (Department of Surgery Seoul National University College of Medicine Seoul Korea.)

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제21권 제4호

발행연도: 2021.12

수록면: 94 - 102 (9page)

DOI: 10.16956/jes.2021.21.4.94

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Purpose: Creating working space while performing thyroid surgery via a transoral endoscopic thyroidectomy vestibular approach (TOETVA) can be technically challenging. We describe our experiences using a balloon dilator for easy and rapid flap dissection during TOETVA. Methods: The medical records of patients who underwent surgery for thyroid diseases via a TOETVA were retrospectively reviewed and divided into two groups: the Routine group included patients who underwent routine flap dissection using conventional laparoscopic instruments without the use of a balloon dilator, and the Spacemaker group included patients who underwent flap dissection using a balloon dilator. The working space formation time, defined as the time from first insertion of an instrument into a trocar until the time of the completion of working space formation, and clinical outcomes were analyzed and compared between groups. Results: A total of 39 patients (6 males and 33 females) were included in the study, with 26 patients in the Routine group and 13 patients in the Spacemaker group. There were no differences in patient demographics between groups. Flap dissection time was significantly longer in the Routine group compared to the Spacemaker group (8.0±2.8 minutes vs. 5.3±2.1 minutes, P=0.004). No excessive bleeding events or conversion to open surgery occurred during surgery in either group. There were also no postoperative bleeding events or infections in either group. Conclusion: Balloon dilators can provide a fast, efficient, and safe flap dissection method for working space formation during thyroid surgery with TOETVA.

#Dissection #Minimally invasive surgical procedures #Surgical flaps #Thyroidectomy #Thyroid diseases

참고문헌 (26)

참고문헌 신청

최영준 / 2017 / Transoral endoscopic thyroidectomy for papillary thyroid microcarcinoma: initial experience of a single surgeon / Annals of Surgical Treatment and Research 93(2):70~75

Juarez MC / 2019 / Objectively measuring social attention of thyroid neck scars and transoral surgery using eye tracking / Laryngoscope 129:2789~2794

Chai YJ / 2021 / Transoral endoscopic thyroidectomy vestibular approach(TOETVA) : surgical outcomes and learning curve / J Clin Med 10:863

Anderson BG / 2018 / Retroperitoneal access for robotic renal surgery / Int Braz J Urol 44:200~201

Cable RL / 1994 / Laparoscopic extraperitoneal inguinal hernia repair using a balloon dissection technique / Aust N Z J Surg 64:431~433

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