title: The minimally invasive effect of breast approach endoscopic thyroidectomy: an expert's experience.
abstract: We evaluated the invasiveness of breast approach endoscopic thyroidectomy (BAET) carried out by surgeon very experienced in this procedure. Twenty-four patients who underwent BAET and 19 patients who underwent conventional thyroidectomy were the study population. Postoperative pain was assessed by a visual analog scale (VAS). The values 2, 12, and 24  h after surgery were significantly lower in the BAET group than those in the conventional group. Serum IL-6 and CRP levels were measured by an ELISA preoperatively and at 2, 12, 24 and 48  h after operation. Their values increased significantly after both procedures when compared to preoperative levels with significant differences between the two groups detected at the 24-hour and 48-hour time points. Subjective and objective evidence supported the notion that BAET could become a minimally invasive procedure if the surgeon gained sufficient experience.
authors.affiliation: 18F Minimally Invasive Surgical Center, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Zhang
authors.forename: Zhi-guo
authors.initials: ZG
authors.lastname: Jiang
authors.forename: Dao-zhen
authors.initials: DZ
authors.lastname: Jiang
authors.forename: Xiang-min
authors.initials: XM
authors.lastname: Zheng
authors.forename: Hong-liang
authors.initials: HL
authors.lastname: Shen
authors.forename: Cheng-xiang
authors.initials: CX
authors.lastname: Shan
authors.forename: Sheng
authors.initials: S
authors.lastname: Liu
authors.forename: Ming
authors.initials: M
authors.lastname: Qiu
mesh_terms: D000328:Adult; D002097:C-Reactive Protein / Q000032:analysis; D004724:Endoscopy / Q000379:methods*; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006801:Humans; D015850:Interleukin-6 / Q000097:blood; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D010149:Postoperative Pain; D011183:Postoperative Complications / Q000601:surgery; D013909:Thorax; D013965:Thyroidectomy / Q000379:methods*; D016896:Treatment Outcome
chemical_list: D015850:Interleukin-6; D002097:C-Reactive Protein
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