Dosang Lee1, Yuhee Nam, Kiyoung Sung. 1. Department of Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea, Bucheon, Korea.
Abstract
INTRODUCTION: As endoscopic skills and instruments continue to improve, many surgeons have begun to pay more attention to minimally invasive surgical techniques. Ever since Gagner first described endoscopic neck surgery, various techniques for endoscopic thyroidectomy have been attempted to improve the cosmetic results therein. The invasiveness of conventional endoscopic thyroidectomy is its main disadvantage, because the procedure requires a wide dissection just to reach the target site. More recently, single-incision laparoscopic surgery has received favorable attention due to the reduction of both scars and postoperative pain in various surgical fields. In this article, we report the initial clinical experiences with single-incision endoscopic thyroidectomies (SIETs) that have been performed via the axillary approach. MATERIALS AND METHODS: We performed multiple SIETs via the axillary approach to overcome the known disadvantages of conventional endoscopic thyroidectomy. Four consecutive patients underwent SIETs that were undertaken using the standard laparoscopic instruments at our institution. In this study, we analyzed tumor size, operative time, length of hospital stay, complications, and cosmetic results. RESULTS: All patients were women and had undergone successful SIET operations. The mean age was 35.6 ± 11.4 years (range, 19-43 years), and the mean time of the operation was 160 ± 19.2 minutes (range 145-185 minutes). There were no reported complications, and all the patients were very satisfied with the cosmetic results. CONCLUSIONS: SIET via the axillary approach is safe and feasible for the treatment of patients with thyroid tumors.
INTRODUCTION: As endoscopic skills and instruments continue to improve, many surgeons have begun to pay more attention to minimally invasive surgical techniques. Ever since Gagner first described endoscopic neck surgery, various techniques for endoscopic thyroidectomy have been attempted to improve the cosmetic results therein. The invasiveness of conventional endoscopic thyroidectomy is its main disadvantage, because the procedure requires a wide dissection just to reach the target site. More recently, single-incision laparoscopic surgery has received favorable attention due to the reduction of both scars and postoperative pain in various surgical fields. In this article, we report the initial clinical experiences with single-incision endoscopic thyroidectomies (SIETs) that have been performed via the axillary approach. MATERIALS AND METHODS: We performed multiple SIETs via the axillary approach to overcome the known disadvantages of conventional endoscopic thyroidectomy. Four consecutive patients underwent SIETs that were undertaken using the standard laparoscopic instruments at our institution. In this study, we analyzed tumor size, operative time, length of hospital stay, complications, and cosmetic results. RESULTS: All patients were women and had undergone successful SIET operations. The mean age was 35.6 ± 11.4 years (range, 19-43 years), and the mean time of the operation was 160 ± 19.2 minutes (range 145-185 minutes). There were no reported complications, and all the patients were very satisfied with the cosmetic results. CONCLUSIONS: SIET via the axillary approach is safe and feasible for the treatment of patients with thyroid tumors.
Authors: Thuy-Anh N Melvin; Steven J Eliades; Patrick K Ha; Carole Fakhry; John M Saunders; Joseph A Califano; Ray G F Blanco Journal: Laryngoscope Date: 2012-09-28 Impact factor: 3.325