Total endoscopic thyroidectomy after open neck biopsy of the follicular lymphoma of the thyroid gland

Abstract

Remote‐access total endoscopic thyroidectomy (TET) is a recently established approach that can avoid producing scars in the neck. There are no clear surgical indications for TET for benign nodules or for malignant tumors at present. We report a successful TET in a 50‐year‐old Japanese woman with follicular lymphoma of the thyroid gland after an open neck biopsy. She had been referred to us with a neck tumor noted 2 months earlier. Because of adhesion, we performed a combined resection of the thyroid and partial right sternohyoid muscle. To the best of our knowledge, there is no other report of a TET performed after open neck surgery. Our patient's case demonstrates that (a) the cosmetic outcome of TET is clearly superior to that of conventional open neck surgery, and (b) a TET can be suitable even for reoperation if carefully selected.

Remote-access hemithyroidectomy in a patient with papillary thyroid cancer after ipsilateral irradiation: a case report

“…It can thus be concluded that if the effects of a previous surgery did not reach the recurrent laryngeal nerve, the risk of complications due to reoperation is low, and in the present case the risk of RLNP was also considered to be low. Several cases in which RAT was performed after an ipsilateral thyroidectomy were recently reported (5,9,10), and in all of these reports, the RATs were safely performed without any complications.…”

“…Irradiation is considered to cause fibrosis of soft tissue, leading to high-risk surgery (11). However, several studies of open neck surgery after ipsilateral irradiation demonstrated that the surgery was safely performed, and the complication rates were sufficiently low: 0-1.5% for RLNP, 0-2.8% for hypoparathyroidism, and 0-1.5% for postoperative hematoma (5,(12)(13)(14). Kikuchi et al reviewed 171 cases and reported that there was no significant difference in the incidence of complications between the group of patients with an irradiation history and the non-irradiation history group (15).…”

“…A remote-access left hemithyroidectomy by the anterior chest approach was performed as described (4,5). In brief, a 30-mm skin incision was made in the left anterior chest approx.…”

Scoping review of approaches used for remote‐access parathyroidectomy: A contemporary review of techniques, tools, pros and cons

“…65 In addition, a RAT for a patient with a history of ipsilateral neck surgery was described. 66 We have also performed a RAT for a patient with a history of ipsilateral neck irradiation. 67 In that case, the patient had an ipsilateral retroauricular incision and had undergone ipsilateral neck irradiation for the treatment of parotid cancer.…”

“…For the transoral approach, a completion thyroidectomy was reported 65 . In addition, a RAT for a patient with a history of ipsilateral neck surgery was described 66 . We have also performed a RAT for a patient with a history of ipsilateral neck irradiation 67 .…”