Transoral vestibule approach for thyroid disease: a systematic review
| العنوان: | Transoral vestibule approach for thyroid disease: a systematic review |
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| المؤلفون: | Jianxin Qiu, Mei Zhao, Shanwen Chen |
| المصدر: | European Archives of Oto-Rhino-Laryngology. 276:297-304 |
| بيانات النشر: | Springer Science and Business Media LLC, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Natural Orifice Endoscopic Surgery, medicine.medical_specialty, medicine.medical_treatment, Operative Time, Blood Loss, Surgical, law.invention, 03 medical and health sciences, Postoperative Complications, 0302 clinical medicine, Robotic Surgical Procedures, Randomized controlled trial, law, Recurrent laryngeal nerve, Humans, Medicine, 030223 otorhinolaryngology, Adverse effect, business.industry, Thyroid disease, Thyroidectomy, Retrospective cohort study, General Medicine, Evidence-based medicine, Length of Stay, medicine.disease, Thyroid Diseases, Surgery, Otorhinolaryngology, 030220 oncology & carcinogenesis, business |
| الوصف: | Transoral endoscopic/robotic thyroidectomy vestibule approach (TOETVA/TORTVA) is a novel technology that has been proposed for the treatment of thyroid disease. Its adoption has increased because of its satisfying cosmetic effects. The primary aim of this systematic review was to assess the feasibility and safety of this approach, and the secondary aim was to discuss the indications for this technology. According to the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines, we searched Pubmed, Embase and the Cochrane databases for published studies on the feasibility and safety of TOETVA or TORTVA. 11 articles containing 864 patients met the inclusion criteria after full-text screening, of which two were reports of randomized controlled trial (RCT), two were retrospective cohort studies and the remaining seven studies were case series. Only studies that evaluated the feasibility and safety of this approach were included. TOETVA/TORTVA was successfully performed in 857 out of the 864 cases (99.2%). The mean operative time ranged from 60.4 to 265.4 min. In most articles, blood loss was less than 50 mL and the mean hospital stay ranged from 1.1 to 8.2 days. The safety outcomes were presented in all articles. The total incidence of adverse events was 14.5%, of which the main complications were transient hypoparathyroidism (5.6%) and transient recurrent laryngeal nerve (RLN) injury (3.1%). This review preliminarily suggests that TOETVA or TORTVA could be an effective and safe treatment for thyroidectomy. Due to the small sample size and low level of evidence, further large-scale, well-designed RCTs are required to validate our findings. |
| تدمد: | 1434-4726 0937-4477 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bc807125bbfd4f705e0b2f259f48c114Test https://doi.org/10.1007/s00405-018-5206-yTest |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....bc807125bbfd4f705e0b2f259f48c114 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14344726 09374477 |
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