Possibilities of radical treatment of thyroid papillary carcinoma by minimal invasive surgery

Authors

  • B. B. Guda V. Komisarenko Institute of Endocrinology and Metabolism of the National Academy of Medical Sciences of Ukraine
  • A. E. Kovalenko V. Komisarenko Institute of Endocrinology and Metabolism of the National Academy of Medical Sciences of Ukraine
  • Yu. M. Taraschenko V. Komisarenko Institute of Endocrinology and Metabolism of the National Academy of Medical Sciences of Ukraine

DOI:

https://doi.org/10.11603/2414-4533.2019.2.10414

Keywords:

differentiated thyroid cancer, thyroidectomy, minimally invasive thyroidectomy

Abstract

The aim of the work: to develop and retrospectively evaluate the results of the surgical method of access to the thyroid gland in patients with differentiated thyroid cancer.

Materials and Methods. The results of the examination and surgical treatment of 60 patients with papillary carcinoma, operated with the use of the minimally invasive method, which consists of reducing the surgical incision to 2.5–3 cm at the level of the lower edge of the thyroid gland, is analyzed. The evaluation of the results of the advanced method was carried out according to the following criteria: the number of days in hospital, the frequency of complications (one-sided transient damage to the laryngeal nerve, transient hypocalcemia, bleeding), postoperative scar condition.

Research and Discussion. The proposed method of mini access for surgical intervention on the thyroid gland due to its nodal pathology is less traumatic, more radical and ablastic compared with the traditional one. The frequency of postoperative complications did not differ from that in operations using conventional access, while in no case were observed in the postoperative period of cases of bleeding. In assessing the state of postoperative scarring, it was found that in all patients the number of points scored for Stony Brook was not lower than 3. The decrease in the length of the opening has a positive not only cosmetic but also psychological effects, is comfortable for patients, creates conditions for better rehabilitation patients of all ages.

References

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Published

2019-09-10

How to Cite

Guda, B. B., Kovalenko, A. E., & Taraschenko, Y. M. (2019). Possibilities of radical treatment of thyroid papillary carcinoma by minimal invasive surgery. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (2), 22–27. https://doi.org/10.11603/2414-4533.2019.2.10414

Issue

No. 2 (2019)

Section

ORIGINAL INVESTIGATIONS

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