“Stealth surgery”: transaxillary subcutaneous endoscopic excision of benign neck lesions

Dutta, Sanjeev; Slater, Bethany J.; Butler, Marilyn; Albanese, Craig T.

doi:10.1016/j.jpedsurg.2008.03.031

Cited by 36 publications

(32 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The first is a mini-incision parathyroidectomy, which usually involves a small 1-inch incision overlying the affected parathyroid gland, blunt dissection of tissue and the removal of parathyroid adenoma under direct vision. The second technique uses an endoscope introduced either in the midline, laterally between the carotid sheath and the strap muscles, or via a transaxillary approach [38][39][40][41] . Endoscopic parathyroidectomy requires creation of space for the tip of the endoscope either by insuflation of carbon dioxide [39] or gasless retraction, as used by Miccoli et al [42] .…”

Section: Surgery For Phptmentioning

confidence: 99%

See 1 more Smart Citation

Aetiology, Diagnosis and Surgical Treatment of Primary Hyperparathyroidism in Children: New Trends

Alagaratnam

Kurzawinski²

2015

Horm Res Paediatr

View full text Add to dashboard Cite

Primary hyperparathyroidism (PHPT) in children is a rare disorder with sharp contrasts in its presentation and aetiology compared with the disease process in adults. This review outlines the current literature, which is limited to about 200 cases, with reference to the aetiology, clinical features, outcomes of investigations, and surgery in children affected by PHPT. Familial conditions account for almost half of all cases of PHPT in children, suggesting that routine genetic testing would be appropriate. Neonatal severe hyperparathyroidism requires urgent medical attention, and performing total parathyroidectomies offers cure, though conservative management is successful in selected cases. Familial hyperparathyroidism in older children can be caused by conditions such as multiple endocrine neoplasia types 1 and 2a, hyperparathyroidism-jaw tumour syndrome and familial hyperparathyroidism. The role of surgery for this group is discussed. The use of ultrasound and MIBI (<sup>99m</sup>Tc-methoxyisobutylnitrile) scanning appears to accurately localise solitary adenomas in sporadic PHPT, thereby supporting the role of minimally invasive parathyroidectomy in children.

show abstract

Section: Surgery For Phptmentioning

confidence: 99%

“…Durkin et al [4] reported good outcomes of radio-guided MIP, and two case series reported the successful use of the transaxillary endoscopic approach [41,46] . Taking into account the increasingly widespread use and good results of MIP in adults, further use of 'keyhole' parathyroidectomy in children is desirable.…”

Section: Surgery For Phptmentioning

confidence: 99%

Aetiology, Diagnosis and Surgical Treatment of Primary Hyperparathyroidism in Children: New Trends

Alagaratnam

Kurzawinski²

2015

Horm Res Paediatr

View full text Add to dashboard Cite

show abstract

“…1 Rapid and improving technologic innovations have allowed surgeons to intervene surgically in neck lesions from a remote side. 9 Transaxillary endoscopic neck surgery has been a well-developed procedure in childhood, including release of torticollis, excision of a thyroglossal duct cyst, and thyroid surgery. 9 However, the reported procedures are all subcutaneous in approach.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic treatment with wrapping by a vascular prosthesis for internal jugular vein phlebectasia

Chen

Huang

Sheen

et al. 2014

Formosan Journal of Surgery

View full text Add to dashboard Cite

The management of jugular vein phlebectasia through a transverse cervical incision provides good direct exposure. However, patients having such a procedure will have a scar in the neck, which may be cosmetically unsatisfactory. The authors describe in this communication a transaxillary subfascial endoscopic treatment of internal jugular vein phlebectasia with wrapping by a vascular prosthesis in a 6-year-old boy. The wrapping prevented the vein from dilating, and at the same time preserved its function. The transaxillary endoscopic technique, with a working cavern created under the fascia of the pectoralis major, offered a safe and straightforward way of surgical management of jugular vein phlebectasia, while exempting injury to noninvolved tissues and avoiding the potential for poor cosmesis from any neck scar.

show abstract

“…The sentinel node concept combines endoscopic lymph node dissection with frozen section analysis to explore the N0 neck. Alternatively, an approach called stealth surgery can be used for transaxillary subcutaneous endoscopic excision of benign neck lesions (Dutta et al, 2008). This endoscopic method may reduce the degree of invasiveness frequently associated with sentinel lymphadenectomy.…”

Section: Endoscopic Neck Dissectionmentioning

confidence: 99%

Advanced Developments in Neck Dissection Technique: Perspectives in Minimally Invasive Surgery

Lee¹,

Chung²

2012

Neck Dissection - Clinical Application and Recent Advances

View full text Add to dashboard Cite

“Stealth surgery”: transaxillary subcutaneous endoscopic excision of benign neck lesions

Cited by 36 publications

References 9 publications

Aetiology, Diagnosis and Surgical Treatment of Primary Hyperparathyroidism in Children: New Trends

Aetiology, Diagnosis and Surgical Treatment of Primary Hyperparathyroidism in Children: New Trends

Endoscopic treatment with wrapping by a vascular prosthesis for internal jugular vein phlebectasia

Advanced Developments in Neck Dissection Technique: Perspectives in Minimally Invasive Surgery

Contact Info

Product

Resources

About