Video-assisted neck surgery: Endoscopic resection of benign thyroid tumor aiming at scarless surgery on the neck

Shimizu, Kazuo; Akira, Shigeo; Tanaka, Shigeo

doi:10.1002/(sici)1096-9098(199811)69:3<178::aid-jso11>3.0.co;2-9

Cited by 144 publications

(88 citation statements)

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“…As such, a variety of procedures via remote access points have been described to achieve a less conspicuous cervical neck incision as first described with endoscopic parathyroid surgery in 1996 by Gagner [2] and followed by endoscopic thyroid lobectomy in 1997 by Hüscher [3]. The approaches described have ranged from a minimally invasive videoassisted thyroidectomy as championed by Miccoli and colleagues [4,5] with a direct approach utilizing a traditionally placed but smaller transverse cervicotomy and maintenance of the potential working space with conventional retractors to more remote techniques using axillary, posterior auricular, anterior chest wall, or circumareolar incisions with or without insufflation [6][7][8][9][10][11][12][13][14]. The procedures allow a safe approach to thyroid surgery with either minimal cervical neck incision(s) or completely extra-cervical openings.…”

Section: Developmentmentioning

confidence: 99%

Robotic Thyroid Surgery

Wharry

Stang

2012

Curr Surg Rep

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While thyroid surgery has been performed safely for nearly a century, the societal desire for a smaller and less visible surgical incision and consequent neck wound have become increasingly important for some patients. Within the last 5 years, thyroid surgical methods have been adapted by several groups to utilize robotic platform technology with the goal of achieving safe resection of the thyroid gland without a visible neck blemish. We review the currently published data regarding the use of surgical robotic platforms to perform remote access thyroid surgery. In particular, the currently described approaches, outcomes, complication profile, learning curve, and cost are examined. We also discuss the utility of the approach in populations of special interest to the endocrine surgeon, and a rational framework for adoption of the technology among surgeons interested in adding this technique to their armamentarium.

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Section: Developmentmentioning

confidence: 99%

Robotic Thyroid Surgery

Wharry

Stang

2012

Curr Surg Rep

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“…8 The anterior chest wall approach utilizes port access at various positions on the anterior chest wall depending on the surgeon, to avoid neck incision. Ohgami et al modified the incision and placed it on upper circumareolar areas in 2000.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic thyroidectomy-axilla breast approach: the experience of 26 cases

et al. 2018

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Background: Conventional thyroidectomy results in transverse scar formation on neck. These scars are uncomfortable and cosmetically unacceptable. Endoscopic thyroidectomy is widely accepted technique in specialized centers. The potential advantages of endoscopic technique include better cosmetic result, decreased hospital stay and better patient comfort. Author started performing endoscopic thyroidectomy at the centre to demonstrate the feasibility of operating thyroid gland endoscopically by axilla breast approach.Methods: Author performed 26 cases of endoscopic thyroidectomy by axilla breast approach from June 2014 to July 2017 in patients presenting with indication for surgical thyroid excision. Author did hemithyroidectomy in 19 patients, total thyroidectomy in 3 patients and near total thyroidectomy in 4 patients. All patients underwent endoscopic thyroidectomy by axilla breast approach by creating subplatysmal space with carbon dioxide insufflation at the pressure of 8 to 10mmHg. Results were compared with the recent studies with comparable number of patients.Results: Author did hemithyroidectomy in 19 patients, total thyroidectomy in 3 patients and near total thyroidectomy in 4 patients. Mean Operative time was 88.19 min. But last 6 cases were completed in 49.60±4.20 min. Thus, as experience increased we tend to complete procedure in progressively lesser time period. Mean blood loss in the series was 21.88ml. Mean Hospital stay was 2.88 days (range 2-5 days). Scar satisfaction on visual analogue scale after 3 months of operation was 9.11. Histopathological examination revealed adenomatous goitre in 24 cases and follicular adenoma in 2 cases.Conclusions: Endoscopic thyroidectomy via axilla breast approach is safe, feasible and minimally invasive surgical method for thyroid diseases, with good post-operative results. Surgeons having adequate training in endoscopic surgery can perform endoscopic thyroidectomy with short learning curve.

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“…Since endoscopic parathyroidectomy and thyroidectomy were first introduced by Gagner and Huscher et al [2,3], various endoscopic thyroid surgery approaches have been devised, including direct cervical surgical approach (anterior or lateral cervical), extracervical access (chest wall, breast, or axilla) and a combination of approaches during last two decades [4][5][6][7][8][9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%