Anesthesia for Transoral Endoscopic Parathyroidectomy by Vestibular Approach (TOEPVA)

Background After thyroid diseases, hyperparathyroidism is one of the most common endocrine surgical diseases. The increasing diagnosis of thyroid pathologies in early stages and a societal emphasis on physical appearances, especially in young women, have led to the development of new surgical techni...

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Published inAin-Shams journal of anesthesiology Vol. 13; no. 1; pp. 1 - 7
Main Authors YILMAZ, Fulya, BAS, Koray
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 29.06.2021
Springer Nature B.V
SpringerOpen
Subjects
Anesthesia management
Critical Care Medicine
Endoscopy
General anesthesia
Inhalation anesthesia
Intensive
Medicine
Medicine & Public Health
Original Article
Patients
Surgery
Thyroid gland
Transoral endoscopic parathyroidectomy
Vestibular approach
Inhalation anesthesia
General anesthesia
Vestibular approach
Anesthesia management
Transoral endoscopic parathyroidectomy
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Summary:Background After thyroid diseases, hyperparathyroidism is one of the most common endocrine surgical diseases. The increasing diagnosis of thyroid pathologies in early stages and a societal emphasis on physical appearances, especially in young women, have led to the development of new surgical techniques alternative to conventional transcervical incision consistently. Here, we describe our anesthesia experience for parathyroidectomy with Transoral Endoscopic Parathyroidectomy by Vestibular Approach (TOEPVA). Patients who undergo TOEPVA at our institution between November 2018 and April 2019 were reviewed. Demographic data and hemodynamic parameters were reported. Results Seven patients were operated successfully by this technique, none of which required conversion to conventional open surgery. Two patients required atropine and one patient required ephedrine during insufflation. Conclusion After induction of anesthesia with propofol, remifentanil, and rocuronium and anesthesia managed by desflurane co-administered with continuous infusion of remifentanil provide feasible and safe anesthesia for TOEPVA. However, especially during hydrodissection and insufflation, a close cooperation between surgeon and anesthetist has a great value to improve patient management.
ISSN:2090-925X
1687-7934
2090-925X
DOI:10.1186/s42077-021-00160-8