TRANSAXILLARY ENDOVIDEOSURGICAL ACCESS IN THYROID SURGERY
https://doi.org/10.24884/0042-4625-2018-177-1-37-40
Abstract
OBJECTIVE. The aim of the study is to analyze the results of practical application of endovideosurgical transaxillary access in thyroid surgery. MATERIAL AND METHODS. We performed the retrospective comparative analysis of the results of surgical treatment of thyroid diseases using traditional, Miccoli’s endovideo-assisted access, endovideosurgical transaxillary access. RESULTS. With the use of endovideosurgical transaxillary access, the best cosmetic result is achieved – the absence of a scar on the neck. The number of specific complications in the samples is not significantly different, nonspecific complications are not accompanied with functional disorders. CONCLUSION. The expediency of improving the endovideosurgical thyroid surgery from remote accesses showed demand ability and safety of the technique. The important condition for their application is the possibility of performing an operative intervention in a proper manner.
About the Authors
D. Yu. SemenovRussian Federation
Department of General surgery and clinic
M. E. Boriskova
Russian Federation
Department of General surgery and clinic
P. A. Pankova
Russian Federation
Department of General surgery and clinic
G. V. Volchkov
Russian Federation
Department of General surgery and clinic
M. A. Bykov
Russian Federation
Department of General surgery and clinic
References
1. Бельцевич Д. Г., Ванушко В. Э., Мельниченко Г. А., Румянцев П. О., Фадеев В. В. Клинические рекомендации Российской ассоциации эндокринологовпо диагностике и лечению узлового зоба (новая редакция 2015 года) // Эндокринная хир. 2015. № 1. С. 15–21. [Bel’tsevich D. G., Vanushko V. E., Mel’nichenko G. A., Rumyantsev P. O., Fadeyev V. V. Klinicheskie rekomendacii Rossijskoj associacii jendokrinologov po diagnostike i lecheniju uzlovogo zoba (novaja redakcija 2015 goda) // Ehndokrinnaya hirurgiya. 2015. № 1. P. 15–21].
2. Майстренко Н. А., Ромащенко П. Н., Криволапов Д. С., Пришвин А. П., Михальченко Г. В. Минимальноинвазивная хирургия щитовидной железы // Международ. науч.исслед. журн. 2017. № 1. С. 144–151. [Maistrenko N. A., Romashchenko P. N., Krivolapov D. S., Prishvin A. P., Mihal‘chenko G. V. Minimal’ noinvazivnaya hirurgiya shchitovidnoj zhelezy // Mezhdunarodnyj nauchnoissledovatel’skij zhurnal. 2017. № 1. P. 144–151].
3. Решетов И. В., Севрюков Ф. Е., Голубцов А. К., Крехно О. П. Видеоассистированная резекция щитовидной железы из одностороннего подмышечного доступа // Федерация специалистов по лечению заболеваний головы и шеи. 2014. № 3. С. 15–19.
4. [Reshetov I. V., Sevrjukov F. E., Golubcov A. K., Krekhno O. P. Videoassistirovannaya rezekciya shchitovidnoj zhelezy iz odnostoronnego podmyshechnogo dostupa // Federacija specialistov po lecheniju zabolevanij golovy i shei. 2014. № 3. P. 15–19].
5. Cho Y. U., Park I. J., Choi K. H., Kim S. J., Choi S. K., Hur Y. S., Lee KY., Ahn S.I., Hong K.S., Shin S. H., Kim K. R., Woo Z. H. Gasless endoscopic thyroidectomy via an anterior chest wall approach using a flaplifting system // Yonsei Medical Journal. 2007. № 3. P. 480–487.
6. Economopoulos K. P., Linos D. Minimally Invasive Thyroidectomy / Linos D., Chung W. Y. (Eds.). Berlin : SpringerVerlag, 2012. P. 257. 6. Fan L. J., Jiang J. Present and future of robotassisted endoscopic thyroid surgery // Chinese Medical Journal. 2012. № 5. P. 926–31.
7. Fearmonti R. M., Bond J. E., Erdmann D., Levin L. S., Pizzo S. V., Levinson H. L. The Modified Patient and Observer Scar Assessment Scale : A Novel Approach to Defining Pathologic and Nonpathologic Scarring // Plastic & Reconstructive Surgery. 2011. P. 242–247.
8. Freynhagen R., Baron R., Gockel U., Tolle T. R. PainDETECT : a new screening questionnaire to detect neropathic components in patients with back pain // Current Medical Research and Opinion. 2006. № 10. P. 20.
9. Gagner M. Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism // British Journal of Surgery. 1996. № 83. P. 87
10. Gharib H., Papini E., Garber J. R., Duick D. S., Harrell R. M., Hegedus L., Paschke R., Valcavi R. American association of clinical endo crinologists, Аmerican college of endocrinology, and Associazione medici endocrinologi medical guidelines for clinical practice for the diagnosis and management of thyroid nodules – 2016 update // Endocrine practice. 2016. № 22. P. 60.
11. Huscher C. S., Chiodini S., Napolitano C., Recher A. Endoscopic right thyroid lobectomy // Surgical Endoscopy. 1997. № 11. P. 877.
12. Ikeda Y., Takami H., Niimi M., Kan S., Sasaki Y., Takayama J. Endoscopic thyroidectomy and parathyroidectomy by the axillary approach : A preliminary report // Surgical Endoscopy. 2002. № 1. P. 92.
13. Jackson N. R., Yao L., Tufano R. P., Kandil E. H. Safety of robotic thyroidectomy approaches : metaanalysis and systematic review // Head Neck. 2014. № 1. P. 137–143.
Review
For citations:
Semenov D.Yu., Boriskova M.E., Pankova P.A., Volchkov G.V., Bykov M.A. TRANSAXILLARY ENDOVIDEOSURGICAL ACCESS IN THYROID SURGERY. Grekov's Bulletin of Surgery. 2018;177(1):37-40. (In Russ.) https://doi.org/10.24884/0042-4625-2018-177-1-37-40