Evidence map›Paper›PMID 37842533›Full record

ArticleGland surgery2023

Tension-free thyroidectomy (medial thyroidectomy)-a prospective study: surgical technique and results of 259 operations.

Ilya Sleptsov, Roman Chernikov, Alexander Pushkaruk, Ilya Sablin, Tillo Tilloev, Natalia Timofeeva, Kseniia Gerasimova, Dmitrii Buzanakov, Shamil Shikhmagomedov, Svetlana Alekseeva and 2 more

Erratum issuedOpen access · diamondAbstract read
In one paragraph

Article in Gland surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 29% of its field
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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 2 countries.

Ilya SleptsovDepartment of Endocrine Surgery, Saint Petersburg State University Hospital, Saint Petersburg, Russian Federation.
Roman ChernikovDepartment of Endocrine Surgery, Saint Petersburg State University Hospital, Saint Petersburg, Russian Federation.
Alexander PushkarukDepartment of Endocrine Surgery, Saint Petersburg State University Hospital, Saint Petersburg, Russian Federation.
Ilya SablinDepartment of Endocrine Surgery, Saint Petersburg State University Hospital, Saint Petersburg, Russian Federation.
Tillo TilloevDepartment of Endocrine Surgery, Saint Petersburg State University Hospital, Saint Petersburg, Russian Federation.
Natalia TimofeevaDepartment of Endocrine Surgery, Saint Petersburg State University Hospital, Saint Petersburg, Russian Federation.
Kseniia GerasimovaDepartment of Endocrine Surgery, Saint Petersburg State University Hospital, Saint Petersburg, Russian Federation.
Dmitrii BuzanakovDepartment of Endocrine Surgery, Saint Petersburg State University Hospital, Saint Petersburg, Russian Federation.
Shamil ShikhmagomedovDepartment of Endocrine Surgery, Saint Petersburg State University Hospital, Saint Petersburg, Russian Federation.
Svetlana AlekseevaDepartment of Endocrine Surgery, Saint Petersburg State University Hospital, Saint Petersburg, Russian Federation.
Polina KnyazevaCenter for Minimally Invasive Surgery, Kliniken Essen-Mitte, Essen, Germany.
Alexander BubnovDepartment of Endocrine Surgery, Saint Petersburg State University Hospital, Saint Petersburg, Russian Federation.
St Petersburg University · RUKliniken Essen-Mitte · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Thyroid surgery is associated with a number of surgical complications including recurrent laryngeal nerve (RLN) injury and hypoparathyroidism. The existing methods share the same principle-the mobilization of the thyroid from the lateral side. The aim of this study was to evaluate the safety of a novel technique of thyroidectomy-tension-free thyroidectomy (TFT) based on the medial approach to the laryngeal nerves and parathyroid glands (PTGs). Methods: The study was conducted between August 2021 and July 2022 in Saint Petersburg State University Hospital. A total of 261 patients with thyroid diseases were enrolled in the study and operated on using the TFT technique. Results: The operations with the use of TFT technique were completed in all but two cases which required the conversion to the standard lateral approach. Of 259 TFT cases unilateral laryngeal paresis was registered in 6 (2.3%) cases or in 1.7% of the number of RLNs at risk. In all but one case the vocal fold function recovered in less than 6 months of the follow-up. Among 87 patients who underwent total thyroidectomy transient postoperative hypoparathyroidism was found in 10 cases (11.5%), rate of persistent hypoparathyroidism was 0%. One case of postoperative bleeding was recorded (0.4%). Conclusions: The TFT technique demonstrated high safety and several advantages over the traditional method of performing operations on the thyroid gland.

Indexed as

hypoparathyroidismlaryngeal nerve injuryThyroidectomy

Identifiers

PMID37842533
PMCPMC10570982
OpenAlexW4386897987

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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.