Endoscopic Thyroidectomy by the Breast Approach: A Single Institution’s 9‐year Experience

Sasaki, Akira; Nakajima, Jun; Ikeda, Kenichiro; Otsuka, Koki; Koeda, Keisuke; Wakabayashi, Go

doi:10.1007/s00268-007-9375-x

Cited by 92 publications

(89 citation statements)

References 32 publications

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“…In the present study, the superior parathyroid gland was often easier to identify and dissect from the thyroid gland on a vascular pedicle than in open thyroidectomy. We experienced a lower incidence of transient hypocalcemia in the ET group than previous reports (22)(23)(24) (Table III). All patients with transient hypocalcemia recovered within 1 month.…”

Section: Discussioncontrasting

confidence: 52%

Endoscopic vs. conventional thyroidectomy for the treatment of benign thyroid tumors: A retrospective study of a 4-year experience

Cao¹,

Xie²,

Cui³

et al. 2011

Experimental and Therapeutic Medicine

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Abstract. Endoscopic thyroidectomy (ET) allows surgeons to remove a thyroid tumor from a remote site, while providing excellent results from a cosmetic viewpoint. The aim of this study was to explore the appropriateness and outcomes of ET via breast approach for the treatment of benign thyroid tumors. A total of 637 patients with benign thyroid tumors were recruited in our department. Two hundred and eighty-five patients underwent the ET via breast approach (ET group) and 352 matched control patients underwent conventional thyroidectomy (ConT group). Variables, such as surgery-related outcomes and postoperative complications, were compared between these two groups. A unilateral lobectomy was performed in 126 patients (44.2%) of the ET group and in 163 patients (46.3%) of the ConT group. A bilateral total thyroidectomy was performed in 159 patients (55.8%) of the ET group and in 189 patients (53.7%) of the ConT group. The operative time in the ET group was longer compared to the ConT group (79.9±20.10 vs. 45.4±11.90 min, P<0.001, for unilateral lobectomy; and 89.9±14.60 vs. 60.0±8.44 min, P<0.001, for bilateral total thyroidectomy). The ET group had a significantly longer mean hospital stay compared to the ConT group (5.5±0.50 vs. 5.3±0.75 days, P=0.002). There was no case of conversion to conventional open surgery in the ET group. The recurrent laryngeal nerves and parathyroid glands were identified and protected in all cases. Our results indicate that ET performed via breast is a technically feasible and safe procedure with excellent cosmetic results for patients with benign thyroid tumors.

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Section: Discussioncontrasting

confidence: 52%

Endoscopic vs. conventional thyroidectomy for the treatment of benign thyroid tumors: A retrospective study of a 4-year experience

Cao¹,

Xie²,

Cui³

et al. 2011

Experimental and Therapeutic Medicine

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“…Although patients who underwent ETBA-m had significantly less postoperative pain than those who underwent sETBA 12 and 24 h postoperatively, one cannot rationally conclude that ETBA-m is superior, as personal bias may be involved (26). However, ETBA-m has the potential to reduce invasiveness in terms of total incision length (2.66 ± 0.09 cm vs. 2.08 ± 0.24 cm, p < 0.001) and the lack of a parasternal incision (the triangle-shaped area between the nipples does not need to be dissected, reducing the area of subcutaneous dissection; 136.25 ± 19.22 cm 2 vs.105.25 ± 9.54 cm 2 , p < 0.001).…”

Section: Discussionmentioning

confidence: 98%

Use of a mini-instrument in endoscopic thyroidectomy via a breast approach to improve cosmetic outcomes

Zhang

Dang

Shan

et al. 2014

BST

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“…This difference in volumes approached significance (p = 0.08), clearly indicating that the size of the enlarged thyroid gland is an essential factor in determining the surgical approach. Several studies have documented increased operative times and blood loss in patients who had a minimally invasive surgery for larger thyroid volumes [12,15,19]. Thus, we propose that patients with GD who have smaller glands could potentially undergo robotic surgeries, while those with larger glands or substernal goiters should be offered a cervical incision.…”

Section: Discussionmentioning

confidence: 99%

Thyroidectomy for Graves' Disease: A Feasibility Study of the Robotic Transaxillary Approach

Noureldine

Lu²,

Wavekar

et al. 2013

ORL

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Introduction: Graves' disease (GD) is considered a relative contraindication for endoscopic approaches to the thyroid gland, due to a larger gland size and increased vascularity. Methods: A retrospective analysis of a single surgeon's experience was performed. We included all patients who underwent thyroidectomy for the treatment of GD over a 3-year period. Results: Twenty-five patients with GD were identified. Twelve of them underwent robotic thyroidectomy and 13 patients underwent conventional thyroidectomy. Age, gender, and BMI were similar in both groups (p > 0.05). The conventional approach allowed for resection of larger thyroid volumes (147.3 ± 153.6 ml), as compared to the robotic approach (62.3 ± 47.8 ml, p = 0.08). The average total operative times were similar in both groups (p = 0.98). There was no difference with respect to intraoperative blood loss (p = 0.49), duration of hospital stay (p = 0.38), and complication rates (p = 0.99). Conclusion: Robotic thyroidectomy is feasible and can be safely performed in appropriately selected patients with GD.

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Endoscopic Thyroidectomy by the Breast Approach: A Single Institution’s 9‐year Experience

Abstract: Endoscopic thyroidectomy by the breast approach for patients with thyroid diseases is an effective procedure that allows an excellent cosmetic result.

Cited by 92 publications

References 32 publications

Endoscopic vs. conventional thyroidectomy for the treatment of benign thyroid tumors: A retrospective study of a 4-year experience

Endoscopic vs. conventional thyroidectomy for the treatment of benign thyroid tumors: A retrospective study of a 4-year experience

Use of a mini-instrument in endoscopic thyroidectomy via a breast approach to improve cosmetic outcomes

Thyroidectomy for Graves' Disease: A Feasibility Study of the Robotic Transaxillary Approach

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