The application of subcapsular saline injection during bilateral axillo-breast approach robotic thyroidectomy: a preliminary report.
Surg Today
; 49(5): 420-426, 2019 May.
Article
em En
| MEDLINE
| ID: mdl-30604214
ABSTRACT
PURPOSE:
Saving the parathyroid gland during robotic thyroidectomy is challenging. This study evaluated the application of a novel method, subcapsular saline injection (SCASI), to save the parathyroid gland during bilateral axillo-breast approach (BABA) robotic total thyroidectomy.METHODS:
Of the 81 included patients operated on from 2014 to 2016, 31 and 50 underwent BABA robotic total thyroidectomy with and without SCASI, respectively. Serum concentrations of parathyroid hormone (PTH), calcium, and ionized calcium were measured at 1 day and 9 months postoperatively. Transient hypoparathyroidism was defined as PTH < 10.0 pg/mL after 1 day and permanent hypoparathyroidism as PTH < 15.0 pg/mL at 9 months.RESULTS:
There were no significant clinicopathologic differences between the two groups. The rate of transient hypoparathyroidism was significantly lower in the SCASI group than in the non-SCASI group [16.1% (5/31) vs. 44% (22/50), p < 0.01]. However, the rates of permanent hypoparathyroidism [0% (0/31) vs. 4% (2/50), p = 0.699] did not differ significantly.CONCLUSIONS:
SCASI is a feasible and safe method of saving the parathyroid gland during BABA robotic total thyroidectomy.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Glândulas Paratireoides
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Tireoidectomia
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Neoplasias da Glândula Tireoide
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Nódulo da Glândula Tireoide
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Tratamentos com Preservação do Órgão
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Procedimentos Cirúrgicos Robóticos
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Solução Salina
Limite:
Adult
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Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article