通过长单极刺激探头进行的监测经口内镜甲状腺切除术
Monitored transoral endoscopic thyroidectomy via long monopolar stimulation probe.
作者信息
Dionigi Gianlorenzo, Wu Che-Wei, Tufano Ralph P, Rizzo Antonio Giacomo, Anuwong Angkoon, Sun Hui, Carcoforo Paolo, Antonino Cancellieri, Portinari Mattia, Kim Hoon Yub
机构信息
Division for Endocrine and Minimally Invasive Surgery, Department of Human Pathology in Adulthood and Childhood ''G. Barresi'', University Hospital G. Martino, University of Messina, Messina, Italy.
Faculty of Medicine, College of Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
出版信息
J Vis Surg. 2018 Jan 26;4:24. doi: 10.21037/jovs.2017.12.25. eCollection 2018.
Abstract
This video aimed to describe the role of intraoperative neuromonitoring (IONM) during transoral endoscopic thyroidectomy vestibular approach (TOETVA) with emphasis given to IONM technical and technological notes, the identification of recurrent laryngeal nerve (RLN). Standardized technique of IONM consist in identifying and monitoring both the vagus nerve and the RLNs before and after resection (V1, V2, R1, R2). According to this report, IONM during TOETVA is feasible and safe in providing identification and function of laryngeal nerves. IONM enable surgeons to feel more comfortable with their initial approach to TOETVA or extended indications. Larger series are needed for appropriated evaluation of IONM in reduction of the rates for RLN complications.
摘要
本视频旨在描述术中神经监测（IONM）在经口内镜甲状腺手术前庭入路（TOETVA）中的作用，重点介绍IONM的技术要点以及喉返神经（RLN）的识别。IONM的标准化技术包括在切除前后识别和监测迷走神经和喉返神经（V1、V2、R1、R2）。根据本报告，TOETVA术中的IONM在识别喉神经及其功能方面是可行且安全的。IONM使外科医生在初次进行TOETVA或扩大适应证时更加放心。需要更大规模的系列研究来适当评估IONM在降低喉返神经并发症发生率方面的作用。
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