Intraoperative Neuromonitoring for Surgical Training in Thyroid Surgery: Its Routine Use Allows a Safe Operation Instead of Lack of Experienced Mentoring

摘要: The aim of the present study was to evaluate influence intraoperative neuromonitoring (NM) on surgical training. results thyroidectomy performed by inexperienced surgeons under supervision a consultant surgeon without (ioNM) were compared those operations experienced assistance but control. included thyroid in our Department between 2005 and 2012. Among them, residents or fellows 1,116 procedures. Seven hundred sixty-five conducted (NV group) 351 with NM group. In NV group 375 unilateral 390 bilateral performed. 149 202 Primary end point incidence postoperative recurrent laryngeal nerve palsy. A secondary impact ioNM operating time operative strategy. (RLN) palsy 2.6 % 2.7 % [p = ns]. One case RLN observed longer for both lobectomy total (50 vs. 56 min 76 81 min, respectively; p < 0.05). routine use intermittent during does not reduce Nevertheless, it allows perform safe operation complication rate comparable that obtained an surgeon. Moreover, could avoid unfortunate occurrence