Gasless Endoscopic Thyroidectomy via an Axillary Approach: Short-term Outcomes and Modifications of Approach / 대한내분비외과학회지
Korean Journal of Endocrine Surgery
; : 28-33, 2007.
Article
in Ko
| WPRIM
| ID: wpr-212244
Responsible library:
WPRO
ABSTRACT
PURPOSE:
With an accumulation of surgical experience for endoscopic or video-assisted thyroidectomy and improvements in surgical techniques and endoscopic instruments, these procedures have become a valid option for patients with benign thyroid nodules. These applications are now being expanded even to selected patients with low risk thyroid carcinomas. This study was performed to suggest new modified methods of approach on the use of a gasless endoscopic thyroidectomy via an axillary approach and to evaluate the short-term outcomes.METHODS:
Between May 2004 and March 2007, 66 female patients underwent a gasless endoscopic thyroidectomy via an axillary approach. Surgical outcomes were evaluated in terms of surgical time, length of hospital stay, the incidence of perioperative complications, and patient opinion at two and four months after surgery.RESULTS:
No cases required conversion to open surgery. The mean surgical time was 136.5±31.8 minutes, and the mean length of hospital stay was 4.2±1.1 days. There were two transient recurrent laryngeal nerve palsies, two minor tracheal injuries without air leakage, and two postoperative hemorrhages that required a second surgery. Only one patient (1.9%) and five patients (9.4%) complained of slight hypesthesia or paresthesia in the neck and anterior chest wall, respectively, and only three patients (5.7%) complained of discomfort while swallowing 4 months after surgery.CONCLUSION:
Gasless endoscopic thyroidectomy via an axillary approach is a feasible and safe procedure and providesa minimal degree of postoperative complaints. This procedure is now a valid option for the surgical treatment of benign thyroid disease and its applications will broaden in the near future.Key words
Full text:
1
Index:
WPRIM
Main subject:
Paralysis
/
Paresthesia
/
Recurrent Laryngeal Nerve
/
Thyroid Diseases
/
Thyroidectomy
/
Thyroid Neoplasms
/
Incidence
/
Thyroid Nodule
/
Postoperative Hemorrhage
/
Thoracic Wall
Type of study:
Incidence_studies
/
Prognostic_studies
Limits:
Female
/
Humans
Language:
Ko
Journal:
Korean Journal of Endocrine Surgery
Year:
2007
Type:
Article