Contributions of the video-assisted approach to thyroid and XXXX surgery.

@entity1 @entity3747 @entity1410 @entity158 @entity3243 @entity2742
BACKGROUND: The authors report their initial experience with partial and total thyroidectomy, and neck exploration for @entity2742 using the video-assisted approach. @entity1 AND METHODS: Between June 1999 and March 2001, 114 @entity1 underwent a thyroid (n = 57) or @entity3243 (n = 57) operation using a video-assisted cervical approach. Video-assisted neck exploration was conducted in all cases under general anaesthesia leading to a partial or total thyroidectomy, and to a selective adenoma removal in PHPT or to a subtotal @entity3243 resection in SHPT. RESULTS: IN THE THYROID GROUP: The mean cranio-caudal and transversal diameter of the resected specimen were respectively 4.9 +/- 0.9 and 2.8 +/- 0.6 cm, and mean total lobar weight was 11.7 +/- 5.8 g. Conversion to conventional surgery was required in 5 @entity1 (8.8%). The mean operative time was 133.9 +/- 26.9 and 86.5 +/- 22.5 minutes for total and partial thyroidectomy respectively. The laryngeal nerve was identified in 96% of cases. The mean length of skin incision was 24.0 +/- 2 mm. There were 3 cases of postoperative @entity3747 , and 2 cases of postoperative hoarseness. The postoperative hospital stay was less than 24 hours for 72.7% of @entity1 . The @entity158 intensity at day one (VAS) was 2.1 +/- 1.3. IN THE PARATHYROID GROUP: Seven of the 44 @entity1 who underwent PHPT (15.9%) and 4 of the 13 @entity1 who underwent surgery for SHPT (30.8%) were converted to a conventional surgical technique. The mean operative time in PHPT and SHPT was 47.3 +/- 22.3 minutes and 136.8 +/- 18.7 minutes, respectively. Recurrent laryngeal nerve was identified in 53.1% of the @entity1 . The median diameter and weight of the resected @entity3243 glands were 1.5 cm (range 0.8-2.7) and 0.9 g (range 0.5-7), respectively. The length of skin incision was 24 +/- 2 mm. All but 2 @entity1 are currently cured. Postoperative complications included @entity1410 and transient hoarseness each in one @entity1 (1.75%). The median @entity158 intensity at day one (VAS) was 0.5 (range: 0 to 3.6). In the PHPT group, the postoperative hospital stay was less than 24 hours for 56.7% of the @entity1 , and less than 48 hours for 91.9% of them. CONCLUSION: The video-assisted approach for thyroid and @entity3243 surgery is feasible, safe and effective in selected cases. Benefits for the @entity1 should be further assessed in future prospective comparative trials.
