Document Detail


Effect of endoscopic thyroidectomy via anterior chest wall approach on treatment of benign thyroid tumors.
MedLine Citation:
PMID:  19361288     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The aim of this study was to evaluate the inflammatory response and acid-base equilibrium index, as well as other clinical facts of the endoscopic thyroidectomy via the anterior chest wall approach. METHODS: Thirty-nine patients who received thyroidectomy in our surgical center during September 2007 and January 2008 were included in this study. Twenty of the patients underwent an endoscopic surgery, and the remaining 19 received conventional surgery. These patients' data were compared within and between treatment groups with respect to clinical facts and inflammatory evaluations. Arterial blood gas data and electrolyte data were analyzed within the endoscopic group. RESULTS: Endoscopic thyroidectomy group showed shorter operative time, compared to that of the conventional thyroidectomy group, although the difference didn't reach statistical significance. No significant difference regarding postoperative hospital stay was observed between two groups. Postoperative day 1 shows much higher values of interleukin-6 and tumor necrosis factor than that measured preoperative or postoperative day 3 in both groups. C-reactive protein appeared to be significantly increased postoperatively in both groups, although no difference between the two groups was found. Although blood cortisol significantly increased in both groups postoperatively, the data of endoscopic group postoperative day 1 was lower than the same day of the conventional group. Arterial blood gas analysis showed that both PCO2 and TCO2 were statistically different between preoperation and 30 minutes after insufflation. No insufflation complication was observed. CONCLUSION: Compared with conventional thyroid surgery, endoscopic thyroidectomy via the anterior chest wall approach presented with no significant difference in respect of both clinical facts and laboratory outcomes.
Authors:
Mingliang Wang; Tao Zhang; Zhihai Mao; Feng Dong; Jianwen Li; Aiguo Lu; Weiguo Hu; Lu Zang; Yu Jiang; Minhua Zheng
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of laparoendoscopic & advanced surgical techniques. Part A     Volume:  19     ISSN:  1092-6429     ISO Abbreviation:  J Laparoendosc Adv Surg Tech A     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-04-13     Completed Date:  2009-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706293     Medline TA:  J Laparoendosc Adv Surg Tech A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  149-52     Citation Subset:  IM    
Affiliation:
Shanghai Minimally Invasive Surgery Center, Surgery Department, Shanghai Ruijin Hospital affiliated with Shanghai JiaoTong University Medical School, Shanghai, China.
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MeSH Terms
Descriptor/Qualifier:
Acid-Base Equilibrium
Adolescent
Adult
Analysis of Variance
Blood Gas Analysis
C-Reactive Protein / metabolism
Endoscopy / methods*
Female
Humans
Hydrocortisone / blood
Male
Middle Aged
Thoracic Wall / surgery*
Thyroid Neoplasms / pathology,  surgery*
Thyroidectomy / methods*
Treatment Outcome
Tumor Necrosis Factor-alpha / blood
Chemical
Reg. No./Substance:
0/Tumor Necrosis Factor-alpha; 50-23-7/Hydrocortisone; 9007-41-4/C-Reactive Protein

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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