Thomas von Ahnen1, Ulrich Wirth2,3, Martin von Ahnen2, Julia Kroenke4, Peter Busch2, Hans-Martin Schardey2, Stefan Schopf2,5. 1. Department of General, Visceral, Vascular and Endocrine Surgery, Agatharied Hospital, Norbert Kerkel Platz, 83734, Hausham, Germany. Vonahnen2002@yahoo.de. 2. Department of General, Visceral, Vascular and Endocrine Surgery, Agatharied Hospital, Norbert Kerkel Platz, 83734, Hausham, Germany. 3. Department of General, Visceral, and Transplant Surgery, Ludwig-Maximilians-University Munich, Munich, Germany. 4. Department of Radiology, Agatharied Hospital, Hausham, Germany. 5. Department of General Surgery, RoMed Klinik Bad, Aibling, Germany.
Abstract
BACKGROUND: Due to improvements in endoscopic as well as robotic technology, and a request for better cosmetic results, there was a significant increase in thyroid surgery using these methods during the past decade. METHODS: The aim of our study is to evaluate the perioperative short- and long-term outcome as well as the learning curve of EndoCATS and the Quality of Life (QoL). RESULTS: A total of 150 patients with 152 hemithyroidectomies who underwent endoscopic thyroid surgery by EndoCATS between 2010 and 2016 were enrolled in this study. The mean specimen volume was 15.04 g ± 7.89 g. The mean operation time was 132.79 ± 50.52 min. There is a significant reduction of the operation time after the 53th case. (p < 0.05) There was no acute rebleeding or permanent hypoparathyroidism. Permanent RLN palsy occurred in 3 nerves at risk (NAR) 1.97%. There were no cases of pneumothorax, postoperative infections or skin flap ischemia. 94.11% of the patients describe their state of general health as good as or better than before the surgery. CONCLUSIONS: EndoCATS is a safe and effective, but a demanding single port access procedure; therefore, extensive training is required. An advantage is the near ideal visualization of the RLN and the parathyroid glands as well as the ability to recover even large specimens without difficulties.
BACKGROUND: Due to improvements in endoscopic as well as robotic technology, and a request for better cosmetic results, there was a significant increase in thyroid surgery using these methods during the past decade. METHODS: The aim of our study is to evaluate the perioperative short- and long-term outcome as well as the learning curve of EndoCATS and the Quality of Life (QoL). RESULTS: A total of 150 patients with 152 hemithyroidectomies who underwent endoscopic thyroid surgery by EndoCATS between 2010 and 2016 were enrolled in this study. The mean specimen volume was 15.04 g ± 7.89 g. The mean operation time was 132.79 ± 50.52 min. There is a significant reduction of the operation time after the 53th case. (p < 0.05) There was no acute rebleeding or permanent hypoparathyroidism. Permanent RLN palsy occurred in 3 nerves at risk (NAR) 1.97%. There were no cases of pneumothorax, postoperative infections or skin flap ischemia. 94.11% of the patients describe their state of general health as good as or better than before the surgery. CONCLUSIONS: EndoCATS is a safe and effective, but a demanding single port access procedure; therefore, extensive training is required. An advantage is the near ideal visualization of the RLN and the parathyroid glands as well as the ability to recover even large specimens without difficulties.
Authors: Rohan R Walvekar; Eric Wallace; Beau Bergeron; Richard Whitworth; D David Beahm; Daniel W Nuss Journal: Surg Endosc Date: 2010-04-24 Impact factor: 4.584
Authors: Hans Martin Schardey; Mirko Barone; Stefan Pörtl; Martin von Ahnen; Thomas von Ahnen; Stefan Schopf Journal: World J Surg Date: 2010-12 Impact factor: 3.352
Authors: Hans Martin Schardey; Stefan Schopf; Michael Kammal; Mirco Barone; Wolfgang Rudert; Thomas Hernandez-Richter; Stefan Pörtl Journal: Surg Endosc Date: 2008-02-23 Impact factor: 4.584