Endoscopic Thyroidectomy via an Axillo-Breast Approach without Gas Insufflation for Benign Thyroid Nodules and Micropapillary Carcinomas: Preliminary Results
Yonsei Medical Journal
; : 643-654, 2011.
Article
em En
| WPRIM
| ID: wpr-33254
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
To examine the feasibility of endoscopic thyroidectomy (ET) via an axillo-breast approach without gas insufflation for large thyroid tumors and micropapillary carcinomas. MATERIALS ANDMETHODS:
The patients in the benign group were separated into groups 1 (n=95, or =4 cm in tumor diameter). Also, 57 patients in the micropapillary carcinoma group underwent an endoscopic hemithyroidectomy (HT) (group 3) and were compared with 60 patients who received conventional open HT (group 4). Postoperative functional outcome, local complications, surgical outcomes, and pathological outcomes were compared between the groups.RESULTS:
In the benign group, there was no significant difference in mean operating time, hospital stay, or overall perioperative complications between the two groups. In the micropapillary carcinoma group, mean operating time and hospital stay in group 3 were significantly longer than in group 4 (p=0.015 and p or =4 cm and micropapillary carcinomas. Although it has the advantage of better cosmetic results over open thyroidectomy, there is room for improvement in terms of lessening its invasiveness and shortening the operative time.Palavras-chave
Texto completo:
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Base de dados:
WPRIM
Assunto principal:
Tireoidectomia
/
Carcinoma Papilar
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Estudos Retrospectivos
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Resultado do Tratamento
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Nódulo da Glândula Tireoide
/
Endoscopia
Tipo de estudo:
Observational_studies
Limite:
Adult
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Female
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article