Evidence map›Paper›PMID 27422248›Full record

Observational studySurgical endoscopy2017

Single-incision endoscopic thyroidectomy by the axillary approach with gas inflation for the benign thyroid tumor: retrospective analysis for a single surgeon's experience.

Jinbeom Cho, Dosang Lee, Jongmin Baek, Junhyun Lee, Yohan Park, Kiyoung Sung

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Trial
  2. Trial
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  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Microscopic Thyroidectomy: The Way We Do It.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2020
    Article
  10. Article
  11. Article
  12. Article
  13. Microscopic Thyroidectomy: A Prudent Option.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2019
    Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jinbeom ChoDepartment of Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Sosa-dong, Wonmi-gu, Bucheon-si, Gyunggi-do, 420-717, Korea.
Dosang LeeDepartment of Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Sosa-dong, Wonmi-gu, Bucheon-si, Gyunggi-do, 420-717, Korea.
Jongmin BaekDepartment of Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Sosa-dong, Wonmi-gu, Bucheon-si, Gyunggi-do, 420-717, Korea.
Junhyun LeeDepartment of Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Sosa-dong, Wonmi-gu, Bucheon-si, Gyunggi-do, 420-717, Korea.
Yohan ParkDepartment of Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Sosa-dong, Wonmi-gu, Bucheon-si, Gyunggi-do, 420-717, Korea.
Kiyoung SungDepartment of Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Sosa-dong, Wonmi-gu, Bucheon-si, Gyunggi-do, 420-717, Korea. skyhfh@catholic.ac.kr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrans-axillary endoscopic thyroid surgery offers the advantage of a good cosmetic outcome; however, it requires a wider dissection field compared to the other endoscopic approaches or open surgery. Therefore, it might cause severe postoperative pain occasionally. To reduce the dissection field required, we perform trans-axillary single-incision endoscopic thyroidectomy (SIET) with gas inflation. The aim of this study was to present a single surgeon's experience with SIET and to investigate the learning curve of SIET.

methodsBetween June 2009 and September 2014, a total of 105 patients who underwent hemithyroidectomy for benign thyroid tumor via an SIET procedure were included in the present study. All of the procedures were performed by the same surgeon. Each patient's operative outcomes were collected and retrospectively analyzed. The cumulative summation (CUSUM) analysis was used to assess the learning curve of SIET.

resultsNo mortality or serious morbidity was observed during the study period. The adverse postoperative outcomes included wound hematoma (2 cases; 1.9 %), transient skin paresthesia (5 cases; 4.76 %), transient voice change (5 cases; 4.76 %), skin pigmentation (1 case; 0.9 %), and fibrous band of wound (1 case; 0.9 %). The overall mean operative time was 105 min, and the mean operative time in the experienced phase was 95 min. CUSUM analysis showed a decreasing trend at the 35th patient, suggesting that more than 35 cases were needed for the surgeon to gain proficiency. In 76.19 % of the cases, patients showed extreme satisfaction with the cosmetic results.

conclusionOur results showed reasonable surgical outcomes compared to previous studies on endoscopic thyroidectomy. The SIET procedure is safe and feasible for benign thyroid tumors and has an acceptable learning curve for surgeons who are proficient in conventional endoscopic thyroidectomy.

Indexed as

Learning CurveAdenomaAdultAxillaDissectionEndoscopyFemaleGoiter, NodularHematomaHumansInsufflationMaleMiddle AgedOperative TimeParesthesiaPostoperative ComplicationsGas inflationSingle-incision endoscopic thyroidectomyTrans-axillary endoscopic thyroidectomy

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.