Learning Curve for Using Intraoperative Neural Monitoring Technology of Thyroid Cancer
Joint Authors
Bai, Zhigang
Zhao, Ning
Teng, Changsheng
Zhang, Zhongtao
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-02-11
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
We investigated the learning curve for using intraoperative neural monitoring technology in thyroid cancer, with a view to reducing recurrent laryngeal nerve injury complications.
Radical or combined radical surgery for thyroid cancer was performed in 82 patients with thyroid cancer and 147 recurrent laryngeal nerves were dissected.
Intraoperative neural monitoring technology was applied and the “four-step method” used to monitor recurrent laryngeal nerve function.
When the intraoperative signal was attenuated by more than 50%, recurrent laryngeal nerve injury was diagnosed, and the point and causes of injury were determined.
The time required to identify the recurrent laryngeal nerve was 0.5–2 min and the injury rate was 2.7%; injuries were diagnosed intraoperatively.
Injury most commonly occurred at or close to the point of entry of the nerve into the larynx and was caused by stretching, tumor adhesion, heat, and clamping.
The groups are divided in chronological order; a learning curve for using intraoperative neural monitoring technology in thyroid cancer surgery was generated based on the time to identify the recurrent laryngeal nerve and the number of cases with nerve injury.
The time to identify the recurrent laryngeal nerve and the number of injury cases decreased markedly with increasing patient numbers.
There is a clear learning curve in applying intraoperative neural monitoring technology to thyroid cancer surgery; appropriate use of such technology aids in the protection of the recurrent laryngeal nerve.
American Psychological Association (APA)
Zhao, Ning& Bai, Zhigang& Teng, Changsheng& Zhang, Zhongtao. 2019. Learning Curve for Using Intraoperative Neural Monitoring Technology of Thyroid Cancer. BioMed Research International،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1128149
Modern Language Association (MLA)
Zhao, Ning…[et al.]. Learning Curve for Using Intraoperative Neural Monitoring Technology of Thyroid Cancer. BioMed Research International No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1128149
American Medical Association (AMA)
Zhao, Ning& Bai, Zhigang& Teng, Changsheng& Zhang, Zhongtao. Learning Curve for Using Intraoperative Neural Monitoring Technology of Thyroid Cancer. BioMed Research International. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1128149
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1128149