Nagata T, Shimada Y, Miwa T, Hashimoto I, Kojima H, Okumura T, Tsukada K. Endoscopic thyroidectomy using the EZ-VANS method.
Surg Today 2015;
46:575-82. [PMID:
26094967 DOI:
10.1007/s00595-015-1209-0]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2015] [Accepted: 05/25/2015] [Indexed: 12/21/2022]
Abstract
PURPOSE
Several video-assisted and robotic surgery techniques have been reported for resection of the thyroid and parathyroid glands. Our institute has started performing endoscopic thyroidectomy using the Lap-protector and E·Z-access system, referred to as E·Z-access using video-assisted neck surgery (EZ-VANS). In this report, we evaluate the safety and efficacy of this technique.
METHODS
From January 2007 to September 2014, 110 patients underwent resection of a primary thyroid tumor, 73 who underwent a cervical collar incision (the Open group) and 37 underwent EZ-VANS (the EZ-VANS group).
RESULTS
The average operating time was 159 and 172 min in the Open group and EZ-VANS group, respectively; the amount of blood loss was 46.5 and 54.7 ml, respectively; and the length of hospital stay after surgery was 4.3 and 5.2 days, respectively, with no significant differences observed between the two groups. The learning curve for the EZ-VANS technique was shorter than for open surgery.
CONCLUSIONS
We confirmed that the EZ-VANS technique is a safe and useful method for resection of benign and early malignant thyroid tumors.
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