Endoscopic thyroidectomy via a unilateral axillo-breast approach without gas insufflation for unilateral benign thyroid lesions

Koh, Yoon Woo; Kim, J. W.; Lee, Seung Won; Choi, Eun Chang

doi:10.1007/s00464-008-9963-3

Cited by 90 publications

(112 citation statements)

References 21 publications

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“…The mean operative time was 116 min in the OT group and 114 min in the ET via ABS group and we had a slightly shorter operative time in the ET via ABS group when compared to the previous reports of the same approach (121 min of Lee et al [12] and 120 min of Irawati [13]) and obviously shorter when compared with the other combined axilla and breast approaches (188 min of Shimazu et al [10] and 154 min of Koh et al [11]). The mean intraoperative blood loss was significantly higher in the OT group although we used the same instrument in coagulation and cutting.…”

Section: Discussioncontrasting

confidence: 51%

“…Although the axillobilateral-breast approach which was introduced by Shimazu et al [10] has favorable cosmetic results and easy instrumentation, three large incisions for 10-mm trocar are required and extensive subcutaneous dissection under the anterior chest wall. Koh et al [11] developed a unilateral axillo-breast approach without gas insufflation that produced relatively good cosmetic results without the side effects of CO 2 but required a larger skin flap elevation and longer axillary incision. These two approaches were designed to provide a good surgical view, good cosmetic results, and facilitated instrumentation but required an invasive tissue dissection which may increase incidences of postoperative hematoma, pain, extended drain insertion and a large area of skin numbness [12] [13].…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic Thyroid Lobectomy via Axillary-Breast-Shoulder Approach versus Open Thyroid Lobectomy

Reunmarkkaew¹,

Sittitrai²

2018

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Introduction: The aim of the study was to compare the feasibility and safety of endoscopic thyroid lobectomy via axillary-breast-shoulder approach (ET via ABS) with a conventional open thyroid lobectomy (OT). Methods: From November 2014 to December 2015, 20 patients with unilateral benign thyroid nodules were treated with ET via ABS and another 20 patients were treated with an OT. We analyzed the clinical characteristics postoperative complications, pain, and patient satisfaction. Results: No statistically significant differences occurred between groups except the mean ages of the OT group and the ET via ABS group were 55 and 44 years, respectively (p = 0.015). The mean operative time was almost the same in both groups (116 min in the OT group and 114 min in the ET via ABS group). Blood loss was significantly higher in the OT group than in the ET via ABS group (p = 0.042) but postoperative drainage was detected more in the ET via ABS group (p < 0.001). Early postoperative pain was significantly less in the ET via ABS group (p = 0.026). The hospital stay was three days in OT group and four days in ET via ABS group (p = 0.909). Postoperative complications such as hematoma, hoarseness, dysphagia, and prolonged subcutaneous emphysema were detected only in the ET via ABS group but without statistical difference. More patients were "very satisfied" with the treatment in the ET via ABS group than in the OT group. Conclusion: The ET via ABS is as safe and effective as the OT for patients with unilateral thyroid nodules. With less early postoperative pain and higher patient satisfaction, this endoscopic thyroidectomy approach should be considered in patients who concern about cosmetic results.

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Section: Discussioncontrasting

confidence: 51%

Section: Introductionmentioning

confidence: 99%

Endoscopic Thyroid Lobectomy via Axillary-Breast-Shoulder Approach versus Open Thyroid Lobectomy

Reunmarkkaew¹,

Sittitrai²

2018

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“…Since this time there have been numerous endoscopic and remote-access approaches to the neck to minimize a cervical scar including the anterior breast approach (4), axillo-bilateral breast approach (5), lateral neck approach (6), bilateral axillary breast approach (BABA) (7), axillo-breast approach (8), and post-auricular axillary approach (9). Recent robotic approaches include the transaxillary (10) and facelift robotic (11,12) approaches.…”

Section: Historymentioning

confidence: 99%

Transoral robotic thyroidectomy (TORT): procedures and outcomes

Richmon

Kim

2017

Gland Surg.

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Remote-access approaches to the thyroid gland have seen a rapid evolution recently with the development of various techniques to minimize the cosmetic and quality-of-life impact of a visible scar. Most approaches have required significantly more tissue dissection and have been limited in their extent to treat contralateral disease. The transoral approach is the most recent iteration of "scarless" thyroidectomy and offers various advantages over other techniques including less tissue dissection, equal access to both sides of the neck, and a superb midline view of the anatomy. Transoral thyroidectomy may be performed with either laparoscopic or robotic technology, each with various advantages and disadvantages. Herein, we discuss our experience with transoral robotic thyroidectomy (TORT).

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“…Recently, we developed the unilateral axillo-breast approach for endoscopic thyroid surgery without gas insufflation [21]. After accumulating experience with benign thyroid lesions, we tried performing the prophylactic ipsilateral CND as well as endoscopic hemithyroidectomy (HT) via a unilateral axillo-breast approach for micropapillary thyroid carcinoma.…”

mentioning

confidence: 99%

Endoscopic hemithyroidectomy with prophylactic ipsilateral central neck dissection via an unilateral axillo-breast approach without gas insufflation for unilateral micropapillary thyroid carcinoma: preliminary report

et al. 2009

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Endoscopic thyroidectomy via a unilateral axillo-breast approach without gas insufflation for unilateral benign thyroid lesions

Cited by 90 publications

References 21 publications

Endoscopic Thyroid Lobectomy via Axillary-Breast-Shoulder Approach versus Open Thyroid Lobectomy

Endoscopic Thyroid Lobectomy via Axillary-Breast-Shoulder Approach versus Open Thyroid Lobectomy

Transoral robotic thyroidectomy (TORT): procedures and outcomes

Endoscopic hemithyroidectomy with prophylactic ipsilateral central neck dissection via an unilateral axillo-breast approach without gas insufflation for unilateral micropapillary thyroid carcinoma: preliminary report

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