The effectiveness of a novel modified retracting arm for transaxillary endoscopic thyroid surgery to minimize complications: A randomized controlled study
Journal Title: Perioperative Precision Medicine - Year 2024, Vol 2, Issue 3
Abstract
Objective: To evaluate the safety of a novel modified retracting arm for endoscopic thyroidectomy by gasless unilateral axillary approach (ETGUA) and its effectiveness in minimizing complications. Methods: A novel retracting arm, which comprises a suspension part, a retracting arm, and a suction tube, was designed for ETGUA. The thyroid pull hook used in this study is an approved medical device: Su Xu, 20210063 (https://scjgj.xz.gov.cn/).The cohort of this randomized controlled study included 84 patients with unilateral thyroid cancer who underwent ETGUA at Xuzhou Central Hospital from February 2021 to March 2023. The patients (n=42/group) were randomly assigned to a control group (conventional endoscopic retracting arm) or an experimental group (modified endoscopic thyroid retracting arm). Clinical indicators, complication rates, neck pain scores, and cosmetic scores were compared between the two groups. Results: There were no significant differences in hospitalization time, surgical duration, intraoperative blood loss, postoperative drainage volume, hypoparathyroidism, or postoperative hematoma between the groups. However, there were significant differences in the incidences of transient recurrent laryngeal nerve injury (x2=6.65, p=0.02) and transient superior laryngeal nerve injury (x2=4.49, p=0.03), as well as visual analog scale scores on postoperative day (POD) 1 and 7 (tPOD1=12.66; tPOD7=10.54; both, p<0.001), and cosmetic scores (t=-15.27, p< 0.05). Conclusion: The modified retracting arm was safe and effective for ETGUA.
Authors and Affiliations
Mingling Wang, Gaolei Jia, Kai Wang, Haifeng Zhuang, Li Ma, Ping Wang
Effects of general anesthetics on the cognitive function of pediatric patients: A review
The consequences induced by the use of general anesthetics and better options of the drugs in children and infants have been topics of controversy due to the concerns about their potential impact on cognitive function. T...
Medical image processing using graph convolutional networks: A review
Deep learning, especially graph convolutional networks (GCNs), has been widely applied in various scenarios. Particularly in the field of medical image processing, the research on GCNs have continued to make breakthrough...
Progress in heatstroke-induced multiple organ damage
Heatstroke is a life-threatening acute condition characterized by dysregulated temperature control, resulting in high core temperature and multi-organ dysfunction. Despite extensive research, the molecular mechanisms und...
Thyroid disease-related sleep disorders and its diagnostic and therapeutic recommendations: A literature review
As perioperative medicine evolves, more hospitals are offering comfort sleep clinics. Thyroid disorders (e.g., hypothyroidism, hyperthyroidism, and thyroid cancer) affect the peripheral circadian clock. Elevated serum th...
Research advances in understanding the role and mechanism of pyroptosis in myocardial ischemia-reperfusion injury
Myocardial ischemia-reperfusion injury (MIRI) emerges when the restoration of blood flow fails to recover myocardial function following transient ischemia, marking a significant pathological challenge that adversely affe...