Evidence map›Paper›PMID 28913737›Full record

ArticleSurgical endoscopy2018

Minimally invasive endoscopic thyroid surgery using a collar access: experience in 246 cases with the CEViTS technique.

Franz G Messenbaeck, Michael Weitzendorfer, Cornelia Kaminski, Kai Witzel

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Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

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4 · The record

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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

4 authors.

Franz G MessenbaeckKardinal Schwarzenberg Klinikum Schwarzach, 5620, Schwarzach im Pongau, Austria.
Michael WeitzendorferDepartment of Surgery, Paracelsus Medical University, 5020, Salzburg, Austria.
Cornelia KaminskiMinimal Invasiv Center, Hersfelder Str. 1, 36088, Huenfeld, Germany.
Kai WitzelDepartment of Surgery, Paracelsus Medical University, 5020, Salzburg, Austria. kw@micKW.de.ORCID 0000-0003-1969-2871

Funding

no funding was received -
6 · The paper itself

Abstract

backgroundThe arguments for applying minimally invasive techniques are, besides cosmetic results, reduced access trauma and less postoperative pain. In thyroid surgery, cosmetic aspects are gaining importance. Whether minimally invasive endoscopic thyroid surgery is less painful has not been shown yet.

methodIn this study, we analyse the outcome of 246 patients who underwent cervical endoscopic video-assisted thyroid surgery (CEViTS) regarding the surgery itself, their postoperative pain and satisfaction with the procedure.

resultsCEViTS is routinely performed in our hospital. In this study, no postoperative bleedings that would have made a reoperation necessary occurred. All lobectomies could be completed endoscopically. In two cases, conversions (enlargement of the 5-mm incision to 25 mm) were necessary. Transient nerve palsy was registered in three patients (1.22%). One patient (0.41%) had a permanent palsy of the recurrent laryngeal nerve. In comparison to open surgery (n = 173 patients), the 246 CEViTS patients had a significantly lower pain level (p = 0.047).

conclusionsCervical endoscopic video-assisted thyroid surgery (CEViTS) can be considered a safe, less traumatizing and useful minimally invasive procedure in endoscopic thyroid surgery.

Indexed as

Patient SatisfactionPostoperative PainVideo-Assisted SurgeryAdultAgedEndoscopyFemaleHumansMaleMiddle AgedParalysisPostoperative HemorrhageRecurrent Laryngeal NerveThyroidectomyThyroid GlandYoung AdultCEViTSCollar accessEndoscopic thyroidectomyEndoscopic thyroid surgeryMinimally invasive thyroid surgeryPostoperative pain

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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.