“Elastic Stretch Cavity Building” System in Endoscopic Thyroidectomy of Giant Thyroid Tumors

ObjectiveTo analyze the clinical characteristics of patients with large thyroid tumors underwent endoscopic thyroidectomy using the “elastic stretch cavity builder” system.MethodsThis retrospective case series study included thyroid tumor patients admitted to the Ningbo Medical Center Li Hui li Hosp...

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Main Authors: Gaoxiang Chen, Hai Zhang, Cheng Li, Limu Wen, Jianan Zhang, Minhua Wu, Weifeng Teng, Xiaochun Ji, Yong Luo, Weizhu Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.871594/full
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author Gaoxiang Chen
Hai Zhang
Cheng Li
Limu Wen
Jianan Zhang
Minhua Wu
Weifeng Teng
Xiaochun Ji
Yong Luo
Weizhu Wu
author_facet Gaoxiang Chen
Hai Zhang
Cheng Li
Limu Wen
Jianan Zhang
Minhua Wu
Weifeng Teng
Xiaochun Ji
Yong Luo
Weizhu Wu
author_sort Gaoxiang Chen
collection DOAJ
description ObjectiveTo analyze the clinical characteristics of patients with large thyroid tumors underwent endoscopic thyroidectomy using the “elastic stretch cavity builder” system.MethodsThis retrospective case series study included thyroid tumor patients admitted to the Ningbo Medical Center Li Hui li Hospital between September 2017 and November 2021. The self-developed “elastic stretch cavity builder” was used to elastically lift the anterior cervical flap, combined with low-pressure (3 mmHg) high-flow CO2 inflation, and create a working cavity for endoscopic thyroidectomy.ResultsThis study included 13 patients for analysis. The endoscopic thyroidectomy duration was 92-170 min (mean, 123 ± 24min). The maximum transverse plane diameter of the glands was 5.0-6.2 cm (mean, 5.3 ± 0.3 cm). The maximum sagittal plane diameter was 6.8-10.0 cm (mean, 7.6 ± 0.9 cm). After the “elastic stretch cavity builder” lifted the cervical flap, the height of the subcutaneous region was increased by 1.3 ± 0.2cm without affecting cervical activity. There was no residual scar in the anterior cervical skin puncture hole. All patients were satisfied with the cosmetic with the cosmetic satisfaction score was 3.4 ± 0.5.ConclusionThe novel mixed cavity building model established by the “elastic stretch cavity builder” might provide the surgeon with additional longitudinal cervical operating space while improving the stability of the space and saving human effort.
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spelling doaj.art-13b357f0f2c343098c9424577ce1b62e2022-12-22T00:21:12ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-05-011210.3389/fonc.2022.871594871594“Elastic Stretch Cavity Building” System in Endoscopic Thyroidectomy of Giant Thyroid TumorsGaoxiang ChenHai ZhangCheng LiLimu WenJianan ZhangMinhua WuWeifeng TengXiaochun JiYong LuoWeizhu WuObjectiveTo analyze the clinical characteristics of patients with large thyroid tumors underwent endoscopic thyroidectomy using the “elastic stretch cavity builder” system.MethodsThis retrospective case series study included thyroid tumor patients admitted to the Ningbo Medical Center Li Hui li Hospital between September 2017 and November 2021. The self-developed “elastic stretch cavity builder” was used to elastically lift the anterior cervical flap, combined with low-pressure (3 mmHg) high-flow CO2 inflation, and create a working cavity for endoscopic thyroidectomy.ResultsThis study included 13 patients for analysis. The endoscopic thyroidectomy duration was 92-170 min (mean, 123 ± 24min). The maximum transverse plane diameter of the glands was 5.0-6.2 cm (mean, 5.3 ± 0.3 cm). The maximum sagittal plane diameter was 6.8-10.0 cm (mean, 7.6 ± 0.9 cm). After the “elastic stretch cavity builder” lifted the cervical flap, the height of the subcutaneous region was increased by 1.3 ± 0.2cm without affecting cervical activity. There was no residual scar in the anterior cervical skin puncture hole. All patients were satisfied with the cosmetic with the cosmetic satisfaction score was 3.4 ± 0.5.ConclusionThe novel mixed cavity building model established by the “elastic stretch cavity builder” might provide the surgeon with additional longitudinal cervical operating space while improving the stability of the space and saving human effort.https://www.frontiersin.org/articles/10.3389/fonc.2022.871594/fullmixed cavity buildingendoscopylarge thyroid massesresectioncavity builder
spellingShingle Gaoxiang Chen
Hai Zhang
Cheng Li
Limu Wen
Jianan Zhang
Minhua Wu
Weifeng Teng
Xiaochun Ji
Yong Luo
Weizhu Wu
“Elastic Stretch Cavity Building” System in Endoscopic Thyroidectomy of Giant Thyroid Tumors
Frontiers in Oncology
mixed cavity building
endoscopy
large thyroid masses
resection
cavity builder
title “Elastic Stretch Cavity Building” System in Endoscopic Thyroidectomy of Giant Thyroid Tumors
title_full “Elastic Stretch Cavity Building” System in Endoscopic Thyroidectomy of Giant Thyroid Tumors
title_fullStr “Elastic Stretch Cavity Building” System in Endoscopic Thyroidectomy of Giant Thyroid Tumors
title_full_unstemmed “Elastic Stretch Cavity Building” System in Endoscopic Thyroidectomy of Giant Thyroid Tumors
title_short “Elastic Stretch Cavity Building” System in Endoscopic Thyroidectomy of Giant Thyroid Tumors
title_sort elastic stretch cavity building system in endoscopic thyroidectomy of giant thyroid tumors
topic mixed cavity building
endoscopy
large thyroid masses
resection
cavity builder
url https://www.frontiersin.org/articles/10.3389/fonc.2022.871594/full
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