Video-assisted endoscopic thyroidectomy

Yeh, Ta‐Sen; Jan, Yi-Yin; Hsu, Brend Ray‐Sea; Chen, Kwan-Win; Chen, Miin-Fu

doi:10.1016/s0002-9610(00)00429-3

Cited by 60 publications

(38 citation statements)

References 9 publications

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“…A considerable recent surge has occurred in the development of endoscopic techniques in thyroid surgery. Since Gagner (7) and Hüscher et al (1) first reported successful endoscopic neck surgery in 1996 and 1997, several endoscopic thyroid surgical techniques have been developed (8)(9)(10)(11)(12)(13)(14). Minimizing surgical stress, cosmetic concerns and improving the postoperative quality of life are the main motivations for developing novel endoscopic thyroid surgical techniques.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic vs. conventional thyroidectomy for the treatment of benign thyroid tumors: A retrospective study of a 4-year experience

Cao¹,

Xie²,

Cui³

et al. 2011

Experimental and Therapeutic Medicine

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Abstract. Endoscopic thyroidectomy (ET) allows surgeons to remove a thyroid tumor from a remote site, while providing excellent results from a cosmetic viewpoint. The aim of this study was to explore the appropriateness and outcomes of ET via breast approach for the treatment of benign thyroid tumors. A total of 637 patients with benign thyroid tumors were recruited in our department. Two hundred and eighty-five patients underwent the ET via breast approach (ET group) and 352 matched control patients underwent conventional thyroidectomy (ConT group). Variables, such as surgery-related outcomes and postoperative complications, were compared between these two groups. A unilateral lobectomy was performed in 126 patients (44.2%) of the ET group and in 163 patients (46.3%) of the ConT group. A bilateral total thyroidectomy was performed in 159 patients (55.8%) of the ET group and in 189 patients (53.7%) of the ConT group. The operative time in the ET group was longer compared to the ConT group (79.9±20.10 vs. 45.4±11.90 min, P<0.001, for unilateral lobectomy; and 89.9±14.60 vs. 60.0±8.44 min, P<0.001, for bilateral total thyroidectomy). The ET group had a significantly longer mean hospital stay compared to the ConT group (5.5±0.50 vs. 5.3±0.75 days, P=0.002). There was no case of conversion to conventional open surgery in the ET group. The recurrent laryngeal nerves and parathyroid glands were identified and protected in all cases. Our results indicate that ET performed via breast is a technically feasible and safe procedure with excellent cosmetic results for patients with benign thyroid tumors.

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Section: Discussionmentioning

confidence: 99%

Endoscopic vs. conventional thyroidectomy for the treatment of benign thyroid tumors: A retrospective study of a 4-year experience

Cao¹,

Xie²,

Cui³

et al. 2011

Experimental and Therapeutic Medicine

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“…This also is directly related to the operating time, completeness of the thyroidectomy and CND, and oncologic safety for papillary thyroid carcinoma. These drawbacks are seen for most cervical approaches [2,10,14], the axillary approach [7], and the breast approach [5], in which the application of surgical instrumentations is limited.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, various endoscopic approaches have been applied to thyroid surgery, such as procedures for neck, anterior chest wall, axillary, and breast, each of which has its own advantages [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. However, their application has been limited to benign thyroid tumors, and only a few reports have described endoscopic neck surgery for malignant thyroid tumors.…”

mentioning

confidence: 99%

Endoscopic hemithyroidectomy with prophylactic ipsilateral central neck dissection via an unilateral axillo-breast approach without gas insufflation for unilateral micropapillary thyroid carcinoma: preliminary report

et al. 2009

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“…12,13 These can be grouped into those that use small cervical incisions, either ventral or lateral, and those that use the distant chest wall and periareolar, axillary, or combined approaches. 5,8,[14][15][16][17][18][19] Our approach was using contralateral breast and axillary approach using same instruments as in conventional laparoscopy. The only scar one gets is at the port site which is in an area not exposed and hidden by undergarments.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Thyroidectomy—Preliminary Experience from a Tertiary Care Center in Delhi, India

Aggarwal¹,

Raja²,

Garg³

et al. 2017

US Endocrinology

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C osmesis after thyroid surgery has always been a concern for patients approaching thyroid surgery. To achieve a scarless surgery in the neck, endoscopic thyroidectomy using different techniques has been described in the literature. The aim of this article is to study the feasibility of endoscopic combined axillary breast approach for thyroid surgery. This is a retrospective study in the department of Endocrine Surgery from a tertiary care center in Delhi, India. Patients who underwent endoscopic thyroidectomy at our center during May 2010-November 2015 were included. The procedure was carried out in subjects who opted for the procedure with unilateral thyroid nodules of size less than 4 cm, with benign and indeterminate cytology, and with no previous neck surgery or radiation to the neck. The details of demographic profile, operative parameters, and postoperative management were collected for all the cases. All 12 subjects were females. The mean age of the subjects was 27.2 (range 14-45) years. Mean operative time was 187 (range 110-232) minutes. There was a temporary recurrent laryngeal nerve injury in one case, local wound infection in two cases, prolonged subcutaneous emphysema in five cases, and prolonged analgesic requirement (>5 days) in 10 cases. No life-threatening complications were seen in any of the subjects. Cosmetic results were excellent as there was no visible scar in the neck. The combined breast axillary approach using endoscopic technique for unilateral thyroid nodule is feasible with acceptable morbidity and can be offered to selected patients for cosmetic advantage. KeywordsEndoscopic thyroidectomy, minimally invasive thyroidectomy, thyroid nodule Disclosure: Vivek Aggarwal, Bhanu Kiran Raja, Monika Garg, Deepak Khandelwal, and Bhoopendra Agarwal have nothing to declare in relation to this article. No funding was received for the publication of this article.Compliance with Ethics: All procedures were followed in accordance with the responsible committee on human experimentation and with the Helsinki Declaration of 1975 and subsequent revisions.Authorship: All named authors meet the International Committee of Medical Journal Editors (ICMJE) criteria for authorship of this manuscript, take responsibility for the integrity of the work as a whole, and have given final approval to the version to be published.Open Access: This article is published under the Creative Commons Attribution Noncommercial License, which permits any non-commercial use, distribution, adaptation and reproduction provided the original author(s) and source are given appropriate credit. Ever since thyroid surgery has been described, there is ongoing evolution in the surgical techniques of thyroidectomy. The development aims at increasing safety and improving cosmesis.To achieve safety, surgeons have adopted a number of new technologies such as intraoperative neuromonitoring of recurrent laryngeal nerve (RLN), postoperative parathyroid hormone (PTH) assay, and alternative energy devices such as ultrasonic shears or bipolar coa...

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Video-assisted endoscopic thyroidectomy

Cited by 60 publications

References 9 publications

Endoscopic vs. conventional thyroidectomy for the treatment of benign thyroid tumors: A retrospective study of a 4-year experience

Endoscopic vs. conventional thyroidectomy for the treatment of benign thyroid tumors: A retrospective study of a 4-year experience

Endoscopic hemithyroidectomy with prophylactic ipsilateral central neck dissection via an unilateral axillo-breast approach without gas insufflation for unilateral micropapillary thyroid carcinoma: preliminary report

Endoscopic Thyroidectomy—Preliminary Experience from a Tertiary Care Center in Delhi, India

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