BACKGROUND: Reports of minimal access thyroid surgery (MATS) using various techniques have recently appeared. This study examined the feasibility of MATS using either a lateral 'focused' or endoscopically assisted approach. METHODS: The study group comprised all patients undergoing minimally invasive parathyroidectomy (MIP) during the period May 1998 to April 2002 in whom a concomitant thyroid procedure was undertaken. All procedures were performed either through a 2-cm lateral cervical incision (n = 19) or endoscopically (n = 7). RESULTS: Twenty-six patients underwent thyroid surgery, consisting of either local excision of a thyroid nodule (n = 25) or hemi-thyroidectomy (n = 1). In 13 patients the nodule was incidentally discovered, in four patients removal of the parathyroid necessitated partial thyroidectomy, and in nine patients the lesion identified by preoperative parathyroid localization proved to be a thyroid nodule. There were no permanent complications in the study group. Two patients required drainage of a haematoma. The final pathology of all 26 cases revealed benign nodular thyroid disease. CONCLUSION: Thyroid surgery can safely be performed as a minimally invasive procedure. Minimal access thyroid surgery is therefore a feasible option for selected patients. The question remains to be answered as to whether this surgical approach is appropriate treatment for nodular thyroid disease.
BACKGROUND: Reports of minimal access thyroid surgery (MATS) using various techniques have recently appeared. This study examined the feasibility of MATS using either a lateral 'focused' or endoscopically assisted approach. METHODS: The study group comprised all patients undergoing minimally invasive parathyroidectomy (MIP) during the period May 1998 to April 2002 in whom a concomitant thyroid procedure was undertaken. All procedures were performed either through a 2-cm lateral cervical incision (n = 19) or endoscopically (n = 7). RESULTS: Twenty-six patients underwent thyroid surgery, consisting of either local excision of a thyroid nodule (n = 25) or hemi-thyroidectomy (n = 1). In 13 patients the nodule was incidentally discovered, in four patients removal of the parathyroid necessitated partial thyroidectomy, and in nine patients the lesion identified by preoperative parathyroid localization proved to be a thyroid nodule. There were no permanent complications in the study group. Two patients required drainage of a haematoma. The final pathology of all 26 cases revealed benign nodular thyroid disease. CONCLUSION: Thyroid surgery can safely be performed as a minimally invasive procedure. Minimal access thyroid surgery is therefore a feasible option for selected patients. The question remains to be answered as to whether this surgical approach is appropriate treatment for nodular thyroid disease.
Authors: Celestino Pio Lombardi; Marco Raffaelli; Pietro Princi; Carmela De Crea; Rocco Bellantone Journal: World J Surg Date: 2006-05 Impact factor: 3.352
Authors: Mehmet Zafer Sabuncuoglu; Aylin Sabuncuoglu; Isa Sozen; Mehmet Fatih Benzin; Tugrul Cakir; Recep Cetin Journal: Int J Clin Exp Med Date: 2014-10-15
Authors: Kathryn Spanknebel; John A Chabot; Mary DiGiorgi; Kenneth Cheung; James Curty; John Allendorf; Paul LoGerfo Journal: World J Surg Date: 2006-05 Impact factor: 3.352
Authors: Mohamed A F Hegazy; Ashraf A Khater; Ahmed E Setit; Mahmoud A Amin; Sherif Z Kotb; Mohamed A El Shafei; Tamer F Yousef; Osama Hussein; Yousef K Shabana; Ola T Abdel Dayem Journal: World J Surg Date: 2007-09 Impact factor: 3.352