Scarless Endoscopic Thyroidectomy: Breast Approach for Better Cosmesis

Ohgami, Masahiro; Ishii, Shin; Arisawa, Yoshito; Ohmori, Tai; Noga, Katsuhiko; Furukawa, Toshiharu; Kitajima, Masaki

doi:10.1097/00129689-200002000-00001

Cited by 381 publications

(300 citation statements)

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“…Endoscopic thyroid operations can be classified based on the method of making the working space, the continuous CO 2 gas insufflation method, and the gasless method [3,5,7]. According to the insertion site of surgical instruments, endoscopic surgery can be sorted as cervical [3,6], anterior chest wall [7], breast [8], axillary [4,5,11], and axillarybreast approaches [14]. These various techniques of endoscopic thyroidectomy have their own advantages and pitfalls.…”

Section: Discussionmentioning

confidence: 99%

“…With the widespread adoption of endoscopic thyroidectomies, the application criteria for endoscopic techniques have been altered extensively. At an early time, many surgeons regarded benign thyroid disease as an indication for endoscopic surgery [3][4][5][6][7][8]. In 2002, Miccoli et al [9] attempted to perform endoscopic surgery on patients with papillary thyroid carcinoma [9].…”

Section: Introductionmentioning

confidence: 99%

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Comparative study of endoscopic thyroidectomy versus conventional open thyroidectomy in papillary thyroid microcarcinoma (PTMC) patients

Jeong

Kang

Yun

et al. 2009

Journal of Surgical Oncology

131

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Background: The aim of this study was to evaluate and compare the early surgical outcomes of endoscopic and conventional open thyroidectomies in patients with papillary thyroid microcarcinoma (PTMC). Methods: Between September 2005 and December 2007, 499 patients with PTMC were enrolled. 275 patients underwent gasless endoscopic thyroidectomy via the axillary route (endo group), and 224 patients underwent conventional open thyroidectomy (open group). We analyzed the patient's clinico-pathologic characteristics and surgical completeness between the two groups. Results: The endo group was younger than the open group. The open group underwent more extensive surgery than the endo group. The operative time was longer in the endo group than the open group (138.5 AE 49.0 minvs. 105.5 AE 41.6 min; P < 0.0001), and a lesser number of lymph nodes were retrieved in the endo group compared to the open group (5.05 AE 2.94 vs. 5.96 AE 4.50, P ¼ 0.007). We experienced complications in the endo group, such as transient hypocalcemia, transient RLN palsies, tracheal injuries, and esophageal injuries. Therewas no abnormal uptake on RAI scans in the two groups. From among patients who had undergone total thyroidectomy, all patients in the endo group had <1 ng/ml of serum Tg post-operatively; the seven patients in the open group had >1 ng/ml of serum Tg post-operatively. Tumor recurrence was detected in the open group only (n ¼ 6). Also we checked the post-operative Tg in patients who had undergone lobectomy in the two groups, and found that there were no statistical differences in the two groups. Conclusions: According to our experience, gasless endoscopic thyroidectomy using a trans-axillary approach is a safe and feasible alternative to conventional open thyroidectomy in selected patients with PTMC.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparative study of endoscopic thyroidectomy versus conventional open thyroidectomy in papillary thyroid microcarcinoma (PTMC) patients

Jeong

Kang

Yun

et al. 2009

Journal of Surgical Oncology

131

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“…The first endoscopic thyroid surgery for 5 to 7cm adenoma was performed by Oghami et al using three port technique, two in circumareolar and one in parasternal position 10, In this technique there was a scar in anterior chest wall and then Ikeda et al applied chest and axillary approach for thyroid adenoma, Grave's disease, and papillary micro carcinoma [10,13]. Shimazu et al modified this approach to axillary-bilateral breast approach for endoscopic thyroidectomy [16].…”

Section: Discussionmentioning

confidence: 99%

“…Since endoscopic parathyroidectomy and thyroidectomy were first introduced by Gagner and Huscher et al [2,3], various endoscopic thyroid surgery approaches have been devised, including direct cervical surgical approach (anterior or lateral cervical), extracervical access (chest wall, breast, or axilla) and a combination of approaches during last two decades [4][5][6][7][8][9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Thyroidectomy: Experience of Breast and Axillary Approach

Ch¹,

Mishra²,

Kumar³

et al. 2017

J Univer Surg

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“…We developed an origi nal technique for performing endoscopic thyroidectomy using a breast approach and low pressure CO, insuf flation into the subplatvsmal snace. 9 The subcutaneous space in the breast area and sub platysmal space in the neck were bluntly dissected through a 15-mm incision between the nipples, and CO, was insufflated at 6 mmHg to create the operative space. Three trocars were inserted at the breast (Fig .…”

Section: Fig Lbmentioning

confidence: 99%