Untitled

Ohgami, Masahiro; Ishii, Shin; Arisawa, Yoshito; Ohmori, Tai; Noga, Katsuhiko; Furukawa, Toshiharu; Kitajima, Masaki

doi:10.1097/00019509-200002000-00001

Cited by 196 publications

(24 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The minimal access approaches to the thyroid gland may be broadly classified into three groups: the miniopen lateral approach via a small incision [19], minimally invasive video-assisted thyroidectomy (MIVAT) via the midline [20,21], and various endoscopic techniques [22][23][24][25][26].…”

Section: Minimally Invasive Thyroid Surgerymentioning

confidence: 99%

“…This is particularly true for techniques using a noncervical approach or combined cervical and noncervical approaches. They consist of access to the thyroid field through an axillary [25], anterior chest [24], or mammary approach [26,28] or combined approaches such as axillary and mammary approach [29] or axillary and postauricular approach [30]. These techniques are most developed in Asia, as in these countries, extracervical scars balance favorably with cervical scars [31].…”

Section: Minimally Invasive Thyroid Surgerymentioning

confidence: 99%

See 1 more Smart Citation

Minimally invasive thyroid and parathyroid surgery is not a question of length of the incision

Henry

2008

Langenbecks Arch Surg

View full text Add to dashboard Cite

Thyroid and parathyroid operations that minimize the incision but keep it in the neck may be considered minimally invasive not only in respect of the size of the skin incision but also, and above all, in respect of the accessibility of the operative field and extent of dissection. These operations have some advantages over conventional cervicotomy in terms of postoperative pain and cosmetic results. Until now, there is no evidence to state that morbidity of these new approaches is at least equal to the conventional equivalent. Operations that employ an extracervical approach, which have the advantage of leaving no scar in the neck, cannot reasonably be described as minimally invasive, as they require more dissection than conventional open surgery.

show abstract

Section: Minimally Invasive Thyroid Surgerymentioning

confidence: 99%

Section: Minimally Invasive Thyroid Surgerymentioning

confidence: 99%

Minimally invasive thyroid and parathyroid surgery is not a question of length of the incision

Henry

2008

Langenbecks Arch Surg

View full text Add to dashboard Cite

show abstract

“…At around the same time, the pursuit for “no scar” in neck surgery led to the introduction of various extra-cervical approaches. These extra-cervical endoscopic approaches take advantage of areas outside the neck region that can be camouflaged such as the areola in the breast approach, 6 the armpit in the axillary approach, 7 and both in the combined approach. 8,9 Having had extensive experience in the endoscopic transaxillary approach, 10 Kang et al 11 were the first to describe transaxillary robotic thyroidectomy.…”

mentioning

confidence: 99%

Single‐Incision Transaxillary Robotic Thyroidectomy

Lin

Folbe²,

Carron

et al. 2012

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

Objective We reviewed our initial experience with robotic thyroidectomy to identify challenges and limitations of this new surgical approach when applied to a North American population. Study Design Case series. Setting Academic institution. Subjects/Methods Retrospective review of 18 consecutive robotic thyroid lobectomies performed from February 2010 to April 2012 involving 16 female patients. Two patients underwent robot-assisted completion thyroidectomy a few months following the initial thyroid surgery, one for cancer and the other for goiter. Results Median age was 47.5 years (range, 18–62 years), and median body mass index was 28.7 (range, 19.4–44.5). Median thyroid nodule size was 2.9 cm (range, 1.1–4.7 cm). All but 1 case (6%) was performed successfully via single axillary incision. There was no conversion to an open approach. Median operative time was 170 minutes (range, 95–220 minutes), and median blood loss was 12.5 mL (range, 5–75 mL). Complications occurred in 4 cases (22%) to include temporary vocal cord pareses (n = 3) and a postoperative hematoma that required exploration. Median hospital stay was 2 days (range, 1–3 days). Conclusion Single-incision transaxillary robotic thyroidectomy can be technically challenging in North American patients with a larger body frame due to difficulty in optimal placement of all 4 robotic instruments via a single axillary incision. All 3 cases of temporary vocal cord paresis occurred early in our experience and may have been due to our relative inexperience with this new approach and associated instrumentation. Other limitations include less than optimal visualization of the recurrent laryngeal nerve in the contralateral lobe as well as poor access to the substernal region. Level of Evidence 4

show abstract

“…These include the use of the open minimally-invasive (MIT) thyroidectomy, the minimally-invasive video-assisted thyroidectomy (MIVAT), and the extra-cervical approaches (mammary, anterior chest, and axillary) [4–6]. Wilhelm and Metzig have recently reported their first experience with transoral, endoscopic thyroidectomy [7].…”

Section: Discussionmentioning

confidence: 99%

The minimally-invasive thyroidectomy incision: A histological analysis

et al. 2011

View full text Add to dashboard Cite

SummaryBackgroundMinimally invasive thyroidectomy (MIT) has gained popularity in the surgical management of benign and malignant pathology of the thyroid. One of the main benefits of utilizing this technique is the use of smaller incisions resulting in increased cosmetic satisfaction. Unfortunately, the retraction required for adequate exposure during MIT may lead to skin damage, impaired wound healing and poor cosmetic outcomes. Some have proposed that excising incision edges prior to closure may improve cosmesis. A review of the literature does not reveal any histologic evidence to support this technique.Material/MethodsIn this prospective observational study, nine subjects undergoing MIT were identified. Both the superior and inferior skin edges were excised and labeled for orientation. Specimens were sent for hematoxylin and eosin staining and histologic analysis by a staff pathologist.ResultsAll specimens showed no significant findings such as damage to the architecture of the dermis, acute inflammation, edema or evidence of hemorrhage. Focal blood vessel ectasia within the dermis was identified in three of nine subjects.ConclusionsOur findings do not yield a histological basis supporting the routine trimming of incisions during MIT. Although no significant findings were noted histologically, further studies are warranted to investigate the long-term cosmetic outcome of MIT incisions.

show abstract

Untitled

Cited by 196 publications

References 2 publications

Minimally invasive thyroid and parathyroid surgery is not a question of length of the incision

Minimally invasive thyroid and parathyroid surgery is not a question of length of the incision

Single‐Incision Transaxillary Robotic Thyroidectomy

The minimally-invasive thyroidectomy incision: A histological analysis

Contact Info

Product

Resources

About