Lessons Learned From a Faulty Transoral Endoscopic Thyroidectomy Vestibular Approach

被引：13

作者：

Zhang, Daqi ^{[1
]}

Wu, Che-Wei ^{[2
,3
]}

Inversini, Davide ^{[4
]}

Kim, Hoon Yub ^{[6
]}

Anuwong, Angkoon ^{[7
]}

Bacuzzi, Alessandro ^{[4
]}

Dionigi, Gianlorenzo ^{[5
]}

机构：

[1] Jilin Univ, China Japan Union Hosp, Jilin Prov Key Lab Surg Translat Med, Div Thyroid Surg, Changchun, Jilin, Peoples R China

[2] Kaohsiung Municipal Hsiaokang Hosp, Dept Otolaryngol Head & Neck Surg, Kaohsiung, Taiwan

[3] Kaohsiung Med Univ, Coll Med, Fac Med, Kaohsiung, Taiwan

[4] Varese Hosp, Div Anesthesia, Varese, Italy

[5] Univ Messina, Univ Hosp G Martino, Div Endocrine Surg, Dept Human Pathol Adulthood & Childhood G Barresi, Via C Valeria 1, I-98125 Messina, Italy

[6] Korea Univ, Anam Hosp, KUMC Thyroid Ctr, Seoul, South Korea

[7] Police Gen Hosp, Minimally Invas & Endocrine Surg Div, Dept Surg, Bangkok, Thailand

来源：

SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES | 2018年 / 28卷 / 05期

关键词：

pneumomediastinum; subcutaneous emphysema; transoral thyroidectomy; TOETVA; morbidity; endoscopic thyroidectomy; CARBON-DIOXIDE INSUFFLATION; SURGERY; SERIES; PARATHYROIDECTOMY; HYPERCARBIA; EXPERIENCE; PLATYSMA; NECK;

D O I：

10.1097/SLE.0000000000000555

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: Transoral endoscopic thyroidectomy via vestibular approach (TOETVA) is currently considered the most promisingly scarless approach to the thyroid and has gained more acceptance. Materials and Methods: We described a case of faulty TOETVA. Results: The faulty TOETVA resulted in pneumomediastinum, diffuse subcutaneous emphysema, prolonged surgery, and anesthesia. Conclusions: The important technical considerations during TOETVA, including the use of external retraction, the identification of the subplatysmal plane of dissection, CO2 insufflation settings, the learning curve, and patient selection, were described and discussed.

引用

页码：E94 / E99

页数：6

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