Comparison of surgical smoke between two approaches for endoscopic thyroidectomy and open thyroidectomy
Abstract Background Surgical smoke has been recognized as a potential health risk by an increasing number of researchers. Moreover, the counts of surgical smoke produced during different surgical approaches are different. This study aimed to measure and compare the particulate matter (PM) of surgica...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12893-022-01870-y |
| _version_ | 1811188208011051008 |
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| author | Zhe Zhang Gongsheng Jin Xianfu Liu |
| author_facet | Zhe Zhang Gongsheng Jin Xianfu Liu |
| author_sort | Zhe Zhang |
| collection | DOAJ |
| description | Abstract Background Surgical smoke has been recognized as a potential health risk by an increasing number of researchers. Moreover, the counts of surgical smoke produced during different surgical approaches are different. This study aimed to measure and compare the particulate matter (PM) of surgical smoke generated during open thyroidectomy and two endoscopic approaches for thyroidectomy to provide guidance for safe clinical practices. Methods Forty-eight patients with thyroid cancer admitted to our hospital from June 2020 to December 2021 and treated with different surgical approaches were enrolled in this study. The total and peak counts of PM, dynamic changes, and other characteristics of surgical smoke produced during surgery were recorded. PM was classified as PM2.5 (size ≤ 2.5 μm) and PM10 (size ≤ 10 μm). Results In a single cut, both the peak and total counts of PM2.5 and PM10 of surgical smoke in the open thyroidectomy group (n = 15) were significantly higher than those in the breast approach endoscopic thyroidectomy with CO2 insufflation group (n = 15) and the gasless transaxillary endoscopic thyroidectomy group (n = 18) (p < 0.001). Moreover, the latter two groups showed no significant differences in the peak and total counts of PM2.5 and PM10 (p > 0.05). Conclusion In thyroid surgery, more surgical smoke is produced during open thyroidectomy than during endoscopic thyroidectomy, while different endoscopic approaches showed no significant difference in surgical smoke production. Thus, endoscopic approaches outperform the open thyroidectomy approach with regard to surgical smoke production. |
| first_indexed | 2024-04-11T14:16:31Z |
| format | Article |
| id | doaj.art-50c25eb01e8247c687541573275070e1 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-11T14:16:31Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-50c25eb01e8247c687541573275070e12022-12-22T04:19:23ZengBMCBMC Surgery1471-24822022-12-012211810.1186/s12893-022-01870-yComparison of surgical smoke between two approaches for endoscopic thyroidectomy and open thyroidectomyZhe Zhang0Gongsheng Jin1Xianfu Liu2The First Affiliated Hospital of Bengbu Medical CollegeThe First Affiliated Hospital of Bengbu Medical CollegeThe First Affiliated Hospital of Bengbu Medical CollegeAbstract Background Surgical smoke has been recognized as a potential health risk by an increasing number of researchers. Moreover, the counts of surgical smoke produced during different surgical approaches are different. This study aimed to measure and compare the particulate matter (PM) of surgical smoke generated during open thyroidectomy and two endoscopic approaches for thyroidectomy to provide guidance for safe clinical practices. Methods Forty-eight patients with thyroid cancer admitted to our hospital from June 2020 to December 2021 and treated with different surgical approaches were enrolled in this study. The total and peak counts of PM, dynamic changes, and other characteristics of surgical smoke produced during surgery were recorded. PM was classified as PM2.5 (size ≤ 2.5 μm) and PM10 (size ≤ 10 μm). Results In a single cut, both the peak and total counts of PM2.5 and PM10 of surgical smoke in the open thyroidectomy group (n = 15) were significantly higher than those in the breast approach endoscopic thyroidectomy with CO2 insufflation group (n = 15) and the gasless transaxillary endoscopic thyroidectomy group (n = 18) (p < 0.001). Moreover, the latter two groups showed no significant differences in the peak and total counts of PM2.5 and PM10 (p > 0.05). Conclusion In thyroid surgery, more surgical smoke is produced during open thyroidectomy than during endoscopic thyroidectomy, while different endoscopic approaches showed no significant difference in surgical smoke production. Thus, endoscopic approaches outperform the open thyroidectomy approach with regard to surgical smoke production.https://doi.org/10.1186/s12893-022-01870-yEndoscopic surgeryOpen surgeryThroidectomyParticulate matterSurgical smoke |
| spellingShingle | Zhe Zhang Gongsheng Jin Xianfu Liu Comparison of surgical smoke between two approaches for endoscopic thyroidectomy and open thyroidectomy BMC Surgery Endoscopic surgery Open surgery Throidectomy Particulate matter Surgical smoke |
| title | Comparison of surgical smoke between two approaches for endoscopic thyroidectomy and open thyroidectomy |
| title_full | Comparison of surgical smoke between two approaches for endoscopic thyroidectomy and open thyroidectomy |
| title_fullStr | Comparison of surgical smoke between two approaches for endoscopic thyroidectomy and open thyroidectomy |
| title_full_unstemmed | Comparison of surgical smoke between two approaches for endoscopic thyroidectomy and open thyroidectomy |
| title_short | Comparison of surgical smoke between two approaches for endoscopic thyroidectomy and open thyroidectomy |
| title_sort | comparison of surgical smoke between two approaches for endoscopic thyroidectomy and open thyroidectomy |
| topic | Endoscopic surgery Open surgery Throidectomy Particulate matter Surgical smoke |
| url | https://doi.org/10.1186/s12893-022-01870-y |
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