New endoscopic thyroidectomy via a unilateral axillo‐breast approach with gas insufflation: Preliminary report

Abstract

Endoscopic thyroidectomy via a UABA with gas insufflation is a feasible and less invasive option for selected patients.

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

“…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.…”

“…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]. To minimize these possible complications, an axillary-breast-shoulder approach with CO 2 insufflation was introduced by Tran Ngoc Luong [13] and a similar technique was reported by Lee et al [12].…”

Comparison of quality of life between open and endoscopic thyroidectomy for papillary thyroid cancer

“…Patients were excluded if they underwent a total thyroidectomy or had neck dissection beyond the central neck dissection. The following 3 different techniques were adapted for endoscopic thyroidectomy: the bilateral axillo‐breast approach (BABA) with gas, the unilateral axillo‐breast approach (UABA) without gas, and the UABA with gas …”

“…Thyroid lobectomy is an established treatment modality for a small well‐differentiated thyroid cancer because, compared to total thyroidectomy, it has shown similar oncologic results in addition to many advantages, such as less complications and a lower requirement for synthetic thyroid hormone medication. Nevertheless, thyroid lobectomy results in a neck scar, and this cosmetic problem is the most common complaint among patients …”

Endoscopic Thyroid Surgery through Breast and Axillary Approach

“…The postoperative pain after 1 to 3 days of surgery is less and mean drainage period is put 3 to 4 days after surgery and seroma may be present in few cases. 7 Other approaches include bilateral areolar approach (BAA). Hur SM et al have operated 88 patients with benign tumors of any size or papillary thyroid microcarcinomas, the mean operation times were [121.7 ± 24.5 vs 102.6 ± 25 minutes for lobectomy (p < 0.05) and 162.5 ± 36.1 vs 131 ± 28 minutes for total thyroidectomy (p < 0.05) respectively].…”