Abstract
Minimally invasive endoscopic thyroidectomy is being adopted by an increasing number of surgeons around the globe. We analyzed clinical data of 1,226 cases of endoscopic thyroidectomy via small incision of neck in the First Hospital of Jilin University in China from June, 2006 to December, 2012. During Surgical procedure, we recorded operation time, blood loss, incision size, the postoperative drainage, beauty score, whether the use of analgesics, postoperative time to discharge, hospitalization costs, with or without tumor recurrence, wound infection and other complications. Thousand two twenty six patients were all successfully operated. The mean operative time of the first 50 cases was (60 ± 13) min; A mean operative time of later 1,176 cases was (41 ± 6) min. 10–82 mL of intra-operative blood loss and 3–35 mL of postoperative drainage were confirmed. After two days drainage tubes were removed. Postoperative hospital stay was (3 ± 1) d. The incision size was 2.0–3.5 cm. Patients were all satisfied with the scar. No analgesic was acquired after the operation. Four cases occurred postoperative transient hoarseness, one case occurred subcutaneous emphysema, 14 cases transferred to open surgery because of thyroid carcinoma with cervical lymph node metastasis. All cases had no postoperative bleeding or infection. The whole group were followed up for 3–12 months, no recurrences happened. The endoscopic thyroidectomy is a feasible and safe procedure. The short postoperative stay, better cosmetic results and less postoperative stress and pain are obvious. It is believed that endoscopic thyroidectomy would become widely used as a surgical procedure for treating small thyroid nodules.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Barczyński M, Konturek A, Cichoń S (2008) Minimally invasive videoassisted thyreoidectomy (MIVAT) with and without use of harmonic scalpel—a randomized study. Langenbecks Arch Surg 393:647–654
Bellantone R, Lombardi CP, Raffaelli M, Rubino F, Boscherini M, Perilli W (1999) Minimally invasive, totally gasless video-assisted thyroid lobectomy. Am J Surg 177:342–343
Bellantone R, Lombardi CP, Bossola M, Boscherini M, De Crea C, Alesina PF, Traini E (2002) Video-assisted vs. conventional thyroid lobectomy: a randomized trial. Arch Surg 137:301–305
Carlos C, Rafael F, Jaqueline R, Herrera MF (2005) A randomized, prospective, parallel group study comparing the Harmonic Scalpel to electrocautery in thyroidectomy. Surgery 137:337–341
Del Rio P, Sommaruga L, Cataldo S, Robuschi G, Arcuri MF, Sianesi M (2008) Minimally invasive video-assisted thyroidectomy: the learning curve. Eur Surg Res 41:33–36
Hegazy MA, Khater AA, Setit AE, Amin MA, Kotb SZ, El Shafei MA, Yousef TF, Hussein O, Shabana YK, Dayem OT (2007) Minimally invasive video-assisted thyroidectomy for small follicular thyroid nodules. World J Surg 31:1743–1750
Huscher CS, Chiodini S, Napolitano C, Recher A (1997) Endoscopic right thyroid lobectomy. Surg Endosc 11:877
Lombardi CP, Raffaelli M, Princi P, De CC, Bellantone R (2007) Minimally invasive video-assisted functional lateral neck dissection for metastatic papillary thyroid carcinoma. Am J Surg 193(1):114–118
Miccoli P, Berti P, Conte M, Bendinelli C, Marcocci C (1999) Minimally invasive surgery for thyroid small nodules: preliminary report. J Endocrinol Invest 22:849–851
Miccoli P, Berti P, Ambrosini CE (2008) Perspective and lessons learned after a decade of minimally invasive video-assisted thyroidectomy. ORL J Otorhinolaryngol Relat Spec 70(5):282–286
Ruggieri M, Straniero A, Mascaro A, Genderini M, D’Armiento M, Gargiulo P, Fumarola A, Trimboli P (2005) The minimally invasive open video-assisted approach in surgical thyroid diseases. BMC Surg 5:9
Sasaki A, Nakajima J, Ikeda K, Otsuka K, Koeda K, Wakabayashi G (2008) Endoscopic thyroidectomy by the breast approach: a single institution’s 9-year experience. World J Surg 32:381–385
Spinelli C, Donatini G, Berti P, Materazzi G, Costanzo S, Miccoli P (2008) Minimally invasive video-assisted thyroidectomy in pediatric patients. J Pediatr Surg 43(7):1259–1261
Terris DJ, Anderson SK, Watts TL, Chin E (2007) Laryngeal nerve monitoring and minimally invasive thyroid surgery: complementary technologies. Arch Otolaryngol Head Neck Surg 133:1254–1257
Terris DJ, Seybt MW, Elchoufi M, Chin E (2007) Cosmetic thyroid surgery: defining the essential principles. Laryngoscope 117:1168–1172
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media Dordrecht
About this paper
Cite this paper
Liu, J., Dong, S., Meng, X., Xue, S., Chen, G. (2014). Skills of Minimally Invasive Endoscopic Thyroidectomy via Small Incision of Neck (Experience of 1,226 Cases). In: Li, S., Jin, Q., Jiang, X., Park, J. (eds) Frontier and Future Development of Information Technology in Medicine and Education. Lecture Notes in Electrical Engineering, vol 269. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7618-0_145
Download citation
DOI: https://doi.org/10.1007/978-94-007-7618-0_145
Published:
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-007-7617-3
Online ISBN: 978-94-007-7618-0
eBook Packages: EngineeringEngineering (R0)