Abstract
Aim. A comparative analysis of conventional and video-assisted operations effectiveness.Methods. The study included 80 patients were operated from 2010 to 2015 for thyroid and parathyroid glands diseases. The first (main) group included 35 patients who underwent video-assisted surgery. The second group (comparison group) included 45 patients who were operated conventionally. Surgery for thyroid gland diseases included hemithyroidectomy, for diseases of the parathyroid glands - parathyroidectomy in patients with tertiary hyperparathyroidism and adenoma resection in patients with primary hyperparathyroidism.Results. In video-assisted hemithyroidectomy, mean surgery duration was 42.2±3.6 min, compared to 34.4±2.8 min (p=0.086) in conventional method. Recurrent laryngeal nerve and parathyroid glands were identified in 73% of cases at conventional surgery, compared to 96% at video-assisted hemithyroidectomy (p=0.012). At video-assisted surgeries, no phonation disorders were recorded, while at conventional surgeries they were diagnosed in 7 patients (14.0%, p=0.041). Transient hypocalcemia according to the results of laboratory tests was observed in 1 (3.3%) patients after video-assisted and in 3 (6.0%) patients after conventional surgery (p=0.998). The average length of hospital stay after conventional surgery was 8.1±1.8 days, and after video-assisted surgery - 2.6±1.6 days (p=0.040). Postoperative scar size in the group of video-assisted surgery not exceeded 3 cm, in the group of conventional surgery - up to 7 cm.Conclusion. With proper selection of patients, particularly with parathyroid gland diseases, are video-assisted surgery might be a method of choice. Using video-assisted surgery in treating patients with thyroid gland diseases allows to identify anatomical structures of the neck in detail.
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