Extrathyroidal implantation of thyroid hyperplastic/neoplastic cells after endoscopic thyroid surgery.

Chin Med Sci J

Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.

Published: September 2014

AI Article Synopsis

  • The report investigates a rare complication where thyroid tissue is improperly implanted following endoscopic thyroid surgery, analyzing its prevalence and causes.
  • A systematic review of cases identified 5 patients who experienced this issue post-surgery, highlighting its occurrence in a clinical setting.
  • Recommendations include improving surgical techniques and guidelines to reduce the risk of such complications during thyroid procedures.

Article Abstract

Objective: To report a case of the implantation of thyroid hyperplastic or neoplastic tissue after endoscopic thyroidectomy and discuss this complication in aspects of prevalence, pathogenesis, protection, and therapies.

Methods: A systematic search of literature from the PubMed database was conducted for identifying eligible studies on implantation of thyroid hyperplastic or neoplastic cells after endoscopic thyroid surgery.

Results: Overall, 5 reported cases on patients suffering from endoscopic thyroid surgery with implantation of thyroid hyperplastic or neoplastic cells were included in the systematic review.

Conclusions: Unskilled surgeons, rough intraoperative surgical treatment, scarification or rupture of tumor, contamination of instruments, chimney effect, aerosolization of tumor cells may be associated with the implantation after endoscopic thyroidectomy. To minimize the risk of such complication, we should be more meticulous and strict the endoscopic surgery indications.

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Source
http://dx.doi.org/10.1016/s1001-9294(14)60065-1DOI Listing

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