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[Complications and technical aspects of safe tissue dissection in endoscopic hemithyroidectomy]. / Oslozhneniya i tekhnicheskie aspekty bezopasnoi dissektsii tkanei pri provedenii endoskopicheskoi gemitireoidektomii.
Kurganov, I A; Usmanov, I S; Mamistvalov, M Sh; Emelyanov, S I.
Afiliación
  • Kurganov IA; Russian University of Medicine, Moscow, Russia.
  • Usmanov IS; Russian University of Medicine, Moscow, Russia.
  • Mamistvalov MS; Russian University of Medicine, Moscow, Russia.
  • Emelyanov SI; Russian University of Medicine, Moscow, Russia.
Khirurgiia (Mosk) ; (9): 66-74, 2024.
Article en Ru | MEDLINE | ID: mdl-39268738
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 «gasless¼ 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; p<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 (p<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 (p>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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Tiroidectomía Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Asia / Europa Idioma: Ru Revista: Khirurgiia (Mosk) Año: 2024 Tipo del documento: Article País de afiliación: Rusia Pais de publicación: Rusia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Tiroidectomía Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Asia / Europa Idioma: Ru Revista: Khirurgiia (Mosk) Año: 2024 Tipo del documento: Article País de afiliación: Rusia Pais de publicación: Rusia