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Initial Experience of Endoscopic Thyroidectomy Using Bilateral Axillary Breast and Transoral Vestibular Approach in Georgia

Journal of Minimally Invasive Surgery 2020년 23권 3호 p.126 ~ 133
정재철, Chantladze Giorgi, Kharebadze Vladimer, 안종혁, 김재환, 이진욱, Sikharulidze Edisher,
소속 상세정보
정재철 ( Jung Jae-Cheol ) - Inha University College of Medicine Inha University Hospital Department of Surgery
 ( Chantladze Giorgi ) - Aversi Clinic Department of Surgery
 ( Kharebadze Vladimer ) - Aversi Clinic Department of Surgery
안종혁 ( Ahn Jong-Hyuk ) - Inha University College of Medicine Inha University Hospital Department of Surgery
김재환 ( Kim Jae-Hwan ) - Inha University College of Medicine Inha University Hospital Department of Surgery
이진욱 ( Yi Jin-Wook ) - Inha University College of Medicine Inha University Hospital Department of Surgery
 ( Sikharulidze Edisher ) - Aversi Clinic Department of Surgery

Abstract


Purpose: Remote access thyroid surgery using a bilateral axillary breast approach (BABA) or a transoral endoscopic thyroidectomy vestibular approach (TOETVA) are increasingly performed worldwide. In the Caucasus, these methods were first applied in the Republic of Georgia. This study compares these two methods of endoscopic thyroid surgery performed on patients in a tertiary hospital in Tbilisi, Georgia.

Methods: Between December 2015 and January 2018, 41 patients underwent endoscopic thyroid surgery at the Aversi Clinic, including 32 who underwent BABA endoscopic thyroidectomy for benign nodules and nine who underwent TOETVA for thyroid cancers. Patients’ medical records were retrospectively reviewed.

Results: Tumors were significantly larger (2.38±0.38 cm versus 1.70±0.31 cm, p value <0.001), operation time was significantly longer (177.66±21.02 min versus 116.66±5.59 min, p value <0.001), and blood loss was significantly greater (149.07±28.10 ml versus 102.22±8.33 ml, p value <0.001) in patients who underwent BABA than TOETVA. There were no significant differences in postoperative complications between the two groups.

Conclusion: Remote access thyroid surgery, either BABA or TOETVA, was successfully started, without harmful complications, at the Aversi Clinic in Tbilisi, Georgia. BABA is suitable for large sized benign nodules and TOETVA for thyroid cancers with central lymph node dissection.

키워드

Thyroid nodule; Thyroid neoplasms; Minimally invasive surgical procedures; Natural orifice endoscopic surgery; Thyroidectomy

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