Novosti
Khirurgii

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Year 2015 Vol. 23 No 2

REVIEWS

S.U. YAKUBOUSKI1, G.G. KONDRATENKO1, L.I. DANILOVA2

MINIMALLY INVASIVE SURGERY FOR NODULAR GOITER

EE "Belarusian State Medical University"1,
SEE "Belarusian Medical Academy of Post-Graduate Education" 2
The Republic of Belarus

Recent years the rapid development and clinical application of minimally invasive methods of thyroid surgery have been marked. This tendency is dictated both by an intention to improve cosmetic results of surgical interventions and a desire to reduce surgical trauma. Accumulated world experience to date allows to make the first conclusions on the results of the different methods application of minimally invasive surgery of the thyroid gland. However, the suggested data are often controversial; there is an absence of standard terminology, classification of these methods; disagreement in assessment of effectiveness and reasonability of clinical application of minimally invasive thyroid surgery is evident.
A review of existing methods of minimally invasive thyroid surgery is presented in the paper; terminology, classification, indications, clinical outcomes and cost-effectiveness of minimally invasive thyroidectomy in nodular goiter are studied. Minimally invasive operations, independently of approach, require more operative time compared with traditional thyroidectomy. Cervical approach shows the same morbidity level and accompanied with less pain and better cosmetic results in early postoperative period. Extracervical approach leaves no scars on the neck, but some of them are accompanied by more postoperative pain and specific complications.
Search for an optimal minimally invasive method, criteria of which are considered to be the relative simplicity, the feasibility of short mastering, safety and economical expediency determines the prospects of further research.

Keywords: minimally invasive surgery, thyroidectomy, nodular goiter, thyroid, criteria, classification, clinical outcomes
p. 209-216 of the original issue
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Address for correspondence:
220116, Respublika Belarus,
g. Minsk, pr. Dzerzhinskogo, d. 83,
UO "Belorusskiy gosudarstvennyiy meditsinskiy universitet",
1-ya kafedra khirurgicheskih bolezney,
tel. office: 375 017 3404133,
e-mail: yakub-2003@yandex.ru,
Yakubouski Sergey Vladimirovich
Information about the authors:
Yakubouski S.U. PhD, an associate professor of the first chair of surgical diseases of EE "Belarusian State Medical University".
Kondratenko G.G. MD, professor, a head of the first chair of surgical diseases of EE "Belarusian State Medical University".
Danilova L.I. MD, professor, a head of the endocrinology chair of SEE Belarusian "Medical Academy of Post-graduate Education".
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