Yarso Kristanto Yuli, Anwar Sumadi Lukman
Surgery Department, Oncology Division, Medical Faculty of Sebelas Maret University, Indonesia.
Surgery Department, Oncology Division, Medical Faculty of Gadjah Mada University, Indonesia.
Ann Med Surg (Lond). 2022 Sep;81:104132. doi: 10.1016/j.amsu.2022.104132. Epub 2022 Jul 12.
Surgery using minimally invasive procedures has been continuously developing in the medical field including in the treatment and resection of thyroid tumors. In addition to open thyroid surgery, several types of procedures are well developed and adopted in our center including the endoscopic thyroid and radiofrequency ablation (RFA). The COVID-19 pandemic has substantially changed the healthcare system in Indonesia. Lack of oxygen and hospital wards, unaffordable screening tests, and limited health workers affect the perpetuation of non-emergency healthcare service including in the management of thyroid nodules. To preserve the resources needed during the pandemic, PFA for the thyroid procedure provides a better option in terms of hospital bed availability, healthcare cost, and patients' emotional distress. We safely conducted RFA procedures during the period of quarantine levels of 1-3 (low to high) by implementing COVID-19 protocols without any significant postoperative complications.
在医学领域，包括甲状腺肿瘤的治疗和切除在内，使用微创手术的外科手术一直在不断发展。除了开放性甲状腺手术外，我们中心还开展并采用了几种手术方式，包括内镜甲状腺手术和射频消融术（RFA）。2019冠状病毒病疫情极大地改变了印度尼西亚的医疗体系。氧气和医院病房短缺、筛查检测费用高昂以及医护人员有限，影响了包括甲状腺结节管理在内的非紧急医疗服务的持续开展。为了在疫情期间节省所需资源，就病床可用性、医疗成本和患者情绪困扰而言，甲状腺手术的射频消融术提供了一个更好的选择。我们在1 - 3级（从低到高）隔离期间，通过实施2019冠状病毒病防控方案安全地进行了射频消融手术，术后没有出现任何重大并发症。
