The application of subcapsular saline injection during bilateral axillo-breast approach robotic thyroidectomy: a preliminary report
Purpose Saving the parathyroid gland during robotic thyroidectomy is challenging. This study evaluated the application of a novel method, subcapsular saline injection (SCASI), to save the parathyroid gland during bilateral axillo-breast approach (BABA) robotic total thyroidectomy. Methods Of the 81...
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Published in | Surgery today (Tokyo, Japan) Vol. 49; no. 5; pp. 420 - 426 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Singapore
Springer Singapore
01.05.2019
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Subjects | |
Online Access | Get full text |
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Summary: | Purpose
Saving the parathyroid gland during robotic thyroidectomy is challenging. This study evaluated the application of a novel method, subcapsular saline injection (SCASI), to save the parathyroid gland during bilateral axillo-breast approach (BABA) robotic total thyroidectomy.
Methods
Of the 81 included patients operated on from 2014 to 2016, 31 and 50 underwent BABA robotic total thyroidectomy with and without SCASI, respectively. Serum concentrations of parathyroid hormone (PTH), calcium, and ionized calcium were measured at 1 day and 9 months postoperatively. Transient hypoparathyroidism was defined as PTH < 10.0 pg/mL after 1 day and permanent hypoparathyroidism as PTH < 15.0 pg/mL at 9 months.
Results
There were no significant clinicopathologic differences between the two groups. The rate of transient hypoparathyroidism was significantly lower in the SCASI group than in the non-SCASI group [16.1% (5/31) vs. 44% (22/50),
p
< 0.01]. However, the rates of permanent hypoparathyroidism [0% (0/31) vs. 4% (2/50),
p
= 0.699] did not differ significantly.
Conclusions
SCASI is a feasible and safe method of saving the parathyroid gland during BABA robotic total thyroidectomy. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0941-1291 1436-2813 |
DOI: | 10.1007/s00595-018-1748-2 |