The Learning Curve for Surgeons Regarding Endoscopic Thyroidectomy via the Oral-vestibular Approach

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Rui QuCunchuan Wang

Abstract

For selected patients, endoscopic thyroidectomy via the oral-vestibular approach (ETOVA) can be used to achieve a very good esthetic effect. This study aimed to assess the learning curve for ETOVA and identify improvements. This retrospective study evaluated the outcomes of 101 patients who underwent ETOVA by surgeons A and B. The patients were classified according to whether they had undergone surgery during the primary or advanced stage of the learning curve, respectively. Proficiency with the procedure in various types of cases and the operation time, operative blood loss, hospital stay length, and postoperative complications were analyzed. In total, 56 and 45 patients were treated by surgeons A and B, respectively. For both surgeons, the operation times decreased considerably after 20 cases. Statistically significant differences with respect to stage were observed in terms of operation time (P<0.05) and drainage tube reservation (P<0.05). By contrast, significant differences were not observed between stages in terms of operative blood loss (P>0.05) or postoperative hospital stay length (P>0.05). The total postoperative complication rate was low and comparable with that of open surgery. The specific learning curve identified...Continue Reading

References

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Citations

Nov 2, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Rafael Humberto Pérez-SotoDavid Velázquez-Fernández
Aug 15, 2020·Ear, Nose, & Throat Journal·Duy Quoc NgoQuang Van Le
Oct 2, 2019·Journal of Minimal Access Surgery·Piyapong BamroongSirikarn Khaengraeng
Sep 11, 2021·Acta chirurgica Belgica·Magdalena Pisarska-AdamczykMichał Pędziwiatr

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Methods Mentioned

BETA
dissection

Software Mentioned

ETOVA
SPSS

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