Surgical laparoscopy, endoscopy & percutaneous techniques · 2018
Lessons Learned From a Faulty Transoral Endoscopic Thyroidectomy Vestibular Approach.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Zhang Daqi, Wu Che-Wei, Inversini Davide, Kim Hoon Yub, Anuwong Angkoon, Bacuzzi Alessandro, Dionigi Gianlorenzo
Аннотация
BACKGROUND: Transoral endoscopic thyroidectomy via vestibular approach (TOETVA) is currently considered the most promisingly scarless approach to the thyroid and has gained more acceptance.
MATERIALS AND METHODS: We described a case of faulty TOETVA.
RESULTS: The faulty TOETVA resulted in pneumomediastinum, diffuse subcutaneous emphysema, prolonged surgery, and anesthesia.
CONCLUSIONS: The important technical considerations during TOETVA, including the use of external retraction, the identification of the subplatysmal plane of dissection, CO2 insufflation settings, the learning curve, and patient selection, were described and discussed.
MATERIALS AND METHODS: We described a case of faulty TOETVA.
RESULTS: The faulty TOETVA resulted in pneumomediastinum, diffuse subcutaneous emphysema, prolonged surgery, and anesthesia.
CONCLUSIONS: The important technical considerations during TOETVA, including the use of external retraction, the identification of the subplatysmal plane of dissection, CO2 insufflation settings, the learning curve, and patient selection, were described and discussed.