Anesthesia for Transoral Endoscopic Parathyroidectomy by Vestibular Approach (TOEPVA)

Ain-Shams Journal of Anesthesiology

Fulya YILMAZ¹  Koray BAS² 

[1] Department of Anaesthesiology and Reanimation, Izmir Bozyaka Training and Research Hospital, University of Health Sciences, Saim Çıkrıkçı Caddesi No: 59, Karabağlar, İzmir, Turkey;Department of General Surgery, Izmir Bozyaka Training and Research Hospital, University of Health Sciences, Caddesi No: 59, Karabağlar, Izmir, Turkey;

关键词: General anesthesia;    Transoral endoscopic parathyroidectomy;    Vestibular approach;    Anesthesia management;    Inhalation anesthesia;   

DOI  :  10.1186/s42077-021-00160-8

来源: Springer

【 摘 要 】

BackgroundAfter thyroid diseases, hyperparathyroidism is one of the most common endocrine surgical diseases. The increasing diagnosis of thyroid pathologies in early stages and a societal emphasis on physical appearances, especially in young women, have led to the development of new surgical techniques alternative to conventional transcervical incision consistently. Here, we describe our anesthesia experience for parathyroidectomy with Transoral Endoscopic Parathyroidectomy by Vestibular Approach (TOEPVA). Patients who undergo TOEPVA at our institution between November 2018 and April 2019 were reviewed. Demographic data and hemodynamic parameters were reported.ResultsSeven patients were operated successfully by this technique, none of which required conversion to conventional open surgery. Two patients required atropine and one patient required ephedrine during insufflation.ConclusionAfter induction of anesthesia with propofol, remifentanil, and rocuronium and anesthesia managed by desflurane co-administered with continuous infusion of remifentanil provide feasible and safe anesthesia for TOEPVA. However, especially during hydrodissection and insufflation, a close cooperation between surgeon and anesthetist has a great value to improve patient management.

【 授权许可】

CC BY