关键词: Energy devices Hypoparathyroidism Intraoperative adjuncts Nerve monitoring Parathyroid autofluorescence Recurrent laryngeal nerve Thyroidectomy

Mesh : Humans Thyroidectomy / methods Monitoring, Intraoperative / methods Thyroid Diseases / surgery Recurrent Laryngeal Nerve Injuries / prevention & control etiology Thyroid Gland / surgery Optical Imaging / methods

来  源:   DOI:10.1016/j.suc.2024.02.006

Abstract:
Thyroidectomy is relatively safe and often can be done as a minimally invasive procedure. Although they may be associated with a learning curve, thoughtful use of intraoperative adjuncts such as energy devices, recurrent laryngeal nerve monitoring, and parathyroid autofluorescence have the potential to make incremental improvements in the safety and efficiency of thyroid surgery. Perhaps many of these adjuncts may be of greatest benefit when used routinely by less experienced surgeons or selectively in higher-risk operations, although their adoption in practice continues to increase overall.
摘要:
甲状腺切除术相对安全,通常可以作为微创手术进行。尽管它们可能与学习曲线有关,术中附件如能量装置的周到使用,喉返神经监测,和甲状旁腺自发荧光有可能在甲状腺手术的安全性和效率方面取得递增的改善.也许许多这些附件可能是最大的好处,当常规使用经验较少的外科医生或有选择地在高风险的手术,尽管它们在实践中的采用率总体上继续增加。
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