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- Title
New endoscopic thyroidectomy via a unilateral axillo-breast approach with gas insufflation: Preliminary report.
- Authors
Lee, Myung‐Chul; Mo, Jeong‐A; Joon Choi, Ik; Lee, Byung‐Chul; Lee, Guk‐HaENg
- Abstract
Background Invasiveness of endoscopic thyroidectomy has been in debate. The purpose of this study was to introduce new endoscopic thyroidectomy via a unilateral axillo-breast approach (UABA) with gas insufflation to lessen invasiveness. Methods We performed 68 cases of hemithyroidectomy via a UABA with gas insufflation from January to July 2011. The following variables were studied: operation time, pain score, drainage amount, drainage day, perioperative complications, pathological outcomes, and cosmetic satisfaction. Results Mean postoperative pain visual analogue scale (VAS) scores were 2.75 ± 0.93 and 2.07 ± 0.79 at 1 and 3 days after surgery. The mean amount of drainage over the first 3 postoperative days was 144.35 ± 51.64 mL, and the mean time to drain removal was 3.75 ± 0.81 days. Two cases (2.9%) of transient vocal cord palsy and 2 cases (2.9%) of seroma were identified. All patients were satisfied with the cosmetic results. Conclusion Endoscopic thyroidectomy via a UABA with gas insufflation is a feasible and less invasive option for selected patients. © 2012 Wiley Periodicals, Inc. Head Neck, 2013
- Subjects
THYROIDECTOMY; THYROID gland surgery; ENDOSCOPY; INSUFFLATION; THYROID cancer; CANCER invasiveness; ENDOCRINE system; DISEASES
- Publication
Head & Neck, 2013, Vol 35, Issue 4, p471
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.22984