Total Endoscopic Thyroidectomy with Intraoperative Laryngeal Nerve Monitoring

Objective. To evaluate the clinical efficacy of laryngeal nerve (LN) monitoring (LNM) during total endoscopic thyroidectomy via breast approach, with emphasis on the identification rates for RLN and EBSLN and the incidence of RLN paralysis. Materials and Methods. This retrospective study included 28...

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Main Authors: Bin Lv, Bin Zhang, Qing-Dong Zeng
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2016/7381792
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author Bin Lv
Bin Zhang
Qing-Dong Zeng
author_facet Bin Lv
Bin Zhang
Qing-Dong Zeng
author_sort Bin Lv
collection DOAJ
description Objective. To evaluate the clinical efficacy of laryngeal nerve (LN) monitoring (LNM) during total endoscopic thyroidectomy via breast approach, with emphasis on the identification rates for RLN and EBSLN and the incidence of RLN paralysis. Materials and Methods. This retrospective study included 280 patients who underwent endoscopic thyroidectomy with or without LNM. RLN and EBSLN were identified using endoscopic magnification in the control group, while they were localized additionally by LNM in the LNM group. Demographic parameters and surgical outcomes were analyzed by statistical methods. Patients in the control group were also stratified by the side of thyroidectomy to determine difference in left and right RLN injury rates. Results. All procedures were successfully conducted without permanent LN damage. The identification rates for RLN and EBSLN were high in the LNM group compared to those of the control group, and the risk difference (RD) of temporary RLN injury between two groups was 6.3%. The risk of damage was slightly higher for the left RLN than for the right RLN in the control group, which was performed by a right-hand surgeon. Conclusion. The joint application of LNM and endoscopic magnified view endows total endoscopic thyroidectomy with ease, safety, and efficiency.
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institution Kabale University
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spelling doaj-art-87d3645e59b34b508db60ffb0290a2dc2025-02-03T01:01:13ZengWileyInternational Journal of Endocrinology1687-83371687-83452016-01-01201610.1155/2016/73817927381792Total Endoscopic Thyroidectomy with Intraoperative Laryngeal Nerve MonitoringBin Lv0Bin Zhang1Qing-Dong Zeng2Qilu Hospital of Shandong University, Department of General Surgery, Jinan 250012, Shandong, ChinaQilu Hospital of Shandong University, Department of General Surgery, Jinan 250012, Shandong, ChinaQilu Hospital of Shandong University, Department of General Surgery, Jinan 250012, Shandong, ChinaObjective. To evaluate the clinical efficacy of laryngeal nerve (LN) monitoring (LNM) during total endoscopic thyroidectomy via breast approach, with emphasis on the identification rates for RLN and EBSLN and the incidence of RLN paralysis. Materials and Methods. This retrospective study included 280 patients who underwent endoscopic thyroidectomy with or without LNM. RLN and EBSLN were identified using endoscopic magnification in the control group, while they were localized additionally by LNM in the LNM group. Demographic parameters and surgical outcomes were analyzed by statistical methods. Patients in the control group were also stratified by the side of thyroidectomy to determine difference in left and right RLN injury rates. Results. All procedures were successfully conducted without permanent LN damage. The identification rates for RLN and EBSLN were high in the LNM group compared to those of the control group, and the risk difference (RD) of temporary RLN injury between two groups was 6.3%. The risk of damage was slightly higher for the left RLN than for the right RLN in the control group, which was performed by a right-hand surgeon. Conclusion. The joint application of LNM and endoscopic magnified view endows total endoscopic thyroidectomy with ease, safety, and efficiency.http://dx.doi.org/10.1155/2016/7381792
spellingShingle Bin Lv
Bin Zhang
Qing-Dong Zeng
Total Endoscopic Thyroidectomy with Intraoperative Laryngeal Nerve Monitoring
International Journal of Endocrinology
title Total Endoscopic Thyroidectomy with Intraoperative Laryngeal Nerve Monitoring
title_full Total Endoscopic Thyroidectomy with Intraoperative Laryngeal Nerve Monitoring
title_fullStr Total Endoscopic Thyroidectomy with Intraoperative Laryngeal Nerve Monitoring
title_full_unstemmed Total Endoscopic Thyroidectomy with Intraoperative Laryngeal Nerve Monitoring
title_short Total Endoscopic Thyroidectomy with Intraoperative Laryngeal Nerve Monitoring
title_sort total endoscopic thyroidectomy with intraoperative laryngeal nerve monitoring
url http://dx.doi.org/10.1155/2016/7381792
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AT binzhang totalendoscopicthyroidectomywithintraoperativelaryngealnervemonitoring
AT qingdongzeng totalendoscopicthyroidectomywithintraoperativelaryngealnervemonitoring