AI Article Synopsis
- This study evaluated complications after endoscopic hemithyroidectomy (EH) compared to two other methods: minimally invasive video-assisted hemithyroidectomy (MIVAH) and open hemithyroidectomy (OH) across 136 patients.
- Results showed a higher overall complication rate for the EH group (20.5%) compared to OH (6.4%) and MIVAH (4.4%), with minor complications being more common as surgical experience increased.
- The conclusion highlights that despite the higher complication rates in EH, it's generally safe, and following the proposed tissue dissection principles can enhance surgical safety.
Article Abstract
Objective: To analyze the complications following endoscopic hemithyroidectomy and to develop the principles of tissue dissection for safe surgical intervention.
Material And Methods: The results of surgical treatment of 136 patients were studied. The main group consisted of 44 patients who underwent endoscopic hemithyroidectomy through a «gasless» axillary approach (EH group). The first control group consisted of 45 patients who underwent minimally invasive video-assisted hemithyroidectomy (MIVAH group). The second control group consisted of 47 patients who underwent open hemithyroidectomy (OH group).
Results. O: Verall complication rate was significantly higher in the EH group (20.5% vs. 6.4% in the OH group and 4.4% in the MIVAH group; <0.05). In the EH group, Clavien-Dindo grade I complications occurred in 11.4% of cases. There were no similar complications in the control groups (<0.05). Clavien-Dindo grade II complications occurred in 9.1% of patients in the EH group, 4.3% in the OH group and no similar events were identified in the MIVAH group (>0.05). Clavien-Dindo grade III complications occurred in 1 (2.1%) case in the OH group and 2 (4.4%) cases in the MIVAH group. There were no Clavien-Dindo grade III complications in the EH group. Thus, minor complications prevailed in the EH group. Their incidence decreased along with accumulation of experience. Moreover, endoscopic procedure is safer regarding the risk of severe complications.
Conclusion: Endoscopic hemithyroidectomy is safe, and the proposed principles of tissue dissection can further increase surgical safety.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.17116/hirurgia202409166 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Feeding broilers with the addition of an Ilex paraguariensis coproduct affects zootechnical performance and meat quality responses.
Trop Anim Health Prod
January 2025
Department of Agroindustrial Science and Technology, Federal University of Pelotas, Rio Grande Do Sul, Brazil.
During the harvest of Ilex paraguariensis, approximately 2-5 tons per hectare of thick stems are left on the soil surface. The outer portion of these stems, referred to as the coproduct, constitutes 30% of the total residue mass. Although this coproduct has been partially characterized in terms of its phytochemical profile, its technological applications remain unexplored.
View Article and Find Full Text PDFAssessment of verbal and nonverbal cognitive abilities in children with stuttering using 5th edition Stanford Binet.
Appl Neuropsychol Child
January 2025
National Research Center, Giza, Egypt.
Unlabelled: Stuttering is a speech disorder disrupting fluency with implications that could affect psychological, educational, social, and occupational aspects of life. Cognitive functions include mental processes that allows for execution of goal-directed responses in different situations. They are usually referred to as executive functions (EF) which consists of three main components, working memory, cognitive flexibility, and inhibitory control.
View Article and Find Full Text PDFBiomineralization reaction from nanosized calcium silicate: A new method for reducing dentin hypersensitivity.
J Dent Sci
January 2025
Department of Conservative Dentistry, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea.
Background/purpose: This study assessed the ability of experimental materials consisting of dicalcium silicate (DCS) and tricalcium silicate (TCS) with nanosized particles to form intratubular crystals under phosphate-buffered saline (PBS) and the effect on dentin permeability reduction.
Materials And Methods: By isolating the cervical part of the extracted premolars, 195 specimens were obtained. Two experimental materials (DCS/TCS and TCS) were applied to the dentin surface by brushing and stored in PBS (n = 65).
Development and characterisation of a novel complex triple cell culture model of the human alveolar epithelial barrier.
In Vitro Model
June 2024
In Vitro Toxicology Group, Faculty of Medicine, Health and Life Sciences, Swansea University Medical School, Swansea University, Sketty, Wales SA2 8PP UK.
Unlabelled: Owing to increased pressure from ethical groups and the public to avoid unnecessary animal testing, the need for new, responsive and biologically relevant in vitro models has surged. Models of the human alveolar epithelium are of particular interest since thorough investigations into air pollution and the effects of inhaled nanoparticles and e-cigarettes are needed. The lung is a crucial organ of interest due to potential exposures to endogenous material during occupational and ambient settings.
View Article and Find Full Text PDFUnderstanding Parental Perspectives on Childhood Hearing Impairment and Timely Interventions.
Cureus
January 2025
College of Medicine, Department of Otolaryngology - Head and Neck Surgery, University of Jeddah, Jeddah, SAU.
Objectives: Hearing impairment during childhood is a widespread health issue. Prompt recognition and timely intervention are vital for the advancement of language skills. Insufficient parental knowledge can lead to a delay in diagnosing and treating a condition, which can have a negative impact on academic performance.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!