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- W2380163313 abstract "Objective To summarize the surgical skills and the clinical outcomes of endoscopic thyroid surgery via the anterior chest wall approach.Methods Seventy-seven cases of endoscopic thyroidectomy via the anterior chest wall approach between May 2004 and Aug 2005 were retrospectively analyzed with respect to pathologic results,duration of operation,blood loss,postoperative drainage and recurrent laryngeal nerve palsy.Results The 77 cases (58 females,19 males),with a mean age of 43． 1(22-66) years were included in this study.The mean diameter of the tumor was 2． 3(0． 9- 5． 0) cm.Sixty-five patients underwent hemithyroidectomy,3 partial thyroidectomy,and the rest 9 bilateral intervention.In 45 cases,the recurrent laryngeal nerve was exposed.The mean operative time was 82． 4(35-230) min.The mean blood loss was 29． 2(14-68) ml.The mean drainage within the first day after the operation was 84． 0(33-155) ml.The highest postop- erative body temperature was 37． 4(36． 2-38． 5) ℃.The mean postoperative hospital stay was 6． 7 (3-11) days.Pathologic data:nodular goitar in 59 cases,adenoma in 5 cases,chronic thyroiditis in 3 cases,papillary carcinoma indicated intraop- eratively by frozen section in 5 cases and other 5 cases of papillary carcinoma confirmed postoperatively by paraffin sec- tion and 3 of them underwent the convetional total thyroidectomy of the lesion side+subtotal thyroidectomy of the opposite side in 1-2 weeks after the operation.The transient hoarseness occurred in 5 patients during the first and second day after the operation and recovered well 2-6 weeks later.Conclusions In the endosopic thyroid surgery via the anterior chest wall approach,the exposure of tumors less than 5． 0 cm in diameter routinely requires no incision of the platysma.During the total thyroidectomy or subtotal thyroidectomy,the protection of the recurrent laryngeal nerve should be emphasized.It is important to avoid the usage of ultrasonically activated scalpels which are liable to produce too much heat noxious for the nearby the nerve.Moreover,It is safe to treat the papillary carcinoma (microcarcinoma) by endoscopic method." @default.
- W2380163313 created "2016-06-24" @default.
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- W2380163313 date "2005-01-01" @default.
- W2380163313 modified "2023-09-24" @default.
- W2380163313 title "Experience in performing endoscopic thyroid surgery via the anterior chest wall approach:a report of 77 cases" @default.
- W2380163313 hasPublicationYear "2005" @default.
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