Bamroong Piyapong, Kasemsiri Pornthep, Thongrong Cattleya, Mahawerawat Kanokkarn, Tongwiset Siriwan, Rachain Angkana, Khaengraeng Sirikarn
Department of Otorhinolaryngology, Mukdahan Hospital, Mukdahan, Thailand.
Department of Otorhinolaryngology, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University; Khon Kaen Head and Neck Oncology Research; Srinagarind Minimally Invasive Surgery Center of Excellence, Khon Kaen, Thailand.
J Minim Access Surg. 2020 Oct-Dec;16(4):399-403. doi: 10.4103/jmas.JMAS_157_19.
The objectives of the study were to investigate the improvement in operation time for thyroid surgery gained using a modified endobag and suture and to accelerate the learning process for novice endoscopic surgeons.
A retrospective study was conducted between 2 June 2015 and 1 November 2018. Medical records of patients who underwent transoral endoscopic thyroidectomy vestibular approach (TOETVA) were retrieved and analysed. Comparisons of operative time with or without the use of modified equipment were calculated by the unequal variance t-test in lobectomy and isthmectomy groups.
Medical records of 102 patients (mean age: 39.1 years) were analysed. The size of thyroid nodule averaged 4.0 cm (range: 1.0-13.0 cm). TOETVA was applied for right lobectomy (57.8%), left lobectomy (34.3%), isthmectomy (3.9%) and total thyroidectomy (3.9%). Early in our experience, TOETVA required 168 min, whereas following the introduction of the modified endobag and extracorporeal suture, operative time was reduced to 30 min (P > 0.05).
The use of modified equipment permitted shorter operation times. The time difference was not statistically significant but does represent a significant time-saving. The use of the modified equipment will simplify and speed up the learning process for novice endoscopic surgeons.
本研究的目的是调查使用改良的内镜袋和缝线后甲状腺手术的手术时间改善情况，并加速新手内镜外科医生的学习进程。
在2015年6月2日至2018年11月1日期间进行了一项回顾性研究。检索并分析了接受经口内镜甲状腺手术前庭入路（TOETVA）患者的病历。在叶切除术和峡部切除术组中，通过方差不齐t检验计算使用或不使用改良设备的手术时间比较。
分析了102例患者（平均年龄：39.1岁）的病历。甲状腺结节大小平均为4.0 cm（范围：1.0 - 13.0 cm）。TOETVA应用于右叶切除术（57.8%）、左叶切除术（34.3%）、峡部切除术（3.9%）和全甲状腺切除术（3.9%）。在我们的经验早期，TOETVA需要168分钟，而在引入改良的内镜袋和体外缝线后，手术时间缩短至30分钟（P>0.05）。
使用改良设备可缩短手术时间。时间差异虽无统计学意义，但确实节省了大量时间。使用改良设备将简化并加速新手内镜外科医生的学习进程。
