Evidence map›Paper›PMID 29243180›Full record

ArticleJournal of endocrinological investigation2018

Transoral thyroidectomy: a viable surgical option with unprecedented complications-a case series.

S Bakkar, M Al Hyari, M Naghawi, C Corsini, P Miccoli

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in Journal of endocrinological investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 4 pooled it
–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

34 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  4. Transoral Endoscopic Thyroidectomy: A Systematic Review of the Practice So Far.JSLS : Journal of the Society of Laparoendoscopic Surgeons
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

S BakkarDepartment of Surgery, Faculty of Medicine, The Hashemite University, Zarqa, 1313, Jordan. Sohail.bakkar@gmail.com.ORCID http://orcid.org/0000-0001-8479-5901
M Al HyariThe Specialized Center of Endocrine and Metabolic Disorders, Prince Hamzah Hospital, Amman, Jordan.
M NaghawiThe Specialized Center of Endocrine and Metabolic Disorders, Prince Hamzah Hospital, Amman, Jordan.
C CorsiniDepartment of Surgical Pathology, The University of Pisa, 56124, Pisa, Italy.
P MiccoliDepartment of Surgical Pathology, The University of Pisa, 56124, Pisa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report the clinical implications of an initial experience with transoral endoscopic thyroidectomy vestibular approach (TOETVA).

methodsFrom March to November 2017, five cases of TOETVA were performed. Data reported include patient demographics, indication for surgery, extent of surgery, operative time, the need to convert to cervicotomy, the length of hospital stay and post-operative pain and morbidity. Unconventional complications regarded as specific for TOETVA were reported. The burden of surgery on the patient's quality of life was evaluated using the 36-item short form (SF-36) health survey 1 month after surgery.

resultsAll patients were females with a mean age of 36 years. They all underwent a right-sided hemithyroidectomy for a solitary thyroid nodule measuring on average 3.5 cm in size. The nodule was reported as Bethesda category II (n = 3), III (n = 1), and IV (n = 1) on fine needle aspiration cytology. The mean operative time was 122 min. Conversion to a transverse cervicotomy was required in one case. None of the patients developed post-operative bleeding, and none experienced vocal fold or mental nerve palsy. Surgical site infection did not occur. All patients developed subcutaneous emphysema that resolved within 12-48 h. All patients reported a long-standing bothersome pulling sensation along the surgical track that resulted in a poor outcome in some scales of the SF-36 survey. Flap perforation occurred in one case. The median VAS score was 3.

conclusionPatients strongly motivated to undergo a novel surgical procedure tailored to their needs and desires should be properly counselled particularly regarding unconventional procedure-related complications.

Indexed as

AdultBiopsy, Fine-NeedleCarcinoma, PapillaryChoice BehaviorCohort StudiesFemaleHumansLength of StayMiddle AgedNeck DissectionOperative TimeOral Surgical ProceduresPatient SelectionPostoperative ComplicationsRetrospective StudiesThyroidectomyEndoscopicThyroid surgeryTransoral

Identifiers

PMID29243180

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.