Abstract
The role of endoscopic thyroidectomy has shown clear cosmetic benefits in the past. In this current study of 10 patients, we have tried to highlight the importance and benefits of 3D endoscopy in the management of large size multinodular goitres (MNGs) and solitary thyroid nodules (STNs). From March 2014 to July 2014, patients having a large volume of thyroid (>70 cc for one lobe) and nodule size (>6 cm) were enrolled for this study. A total of 10 patients underwent the procedure using the Karl StorzTM 3D endoscope system. Out of the 10 patients, 9 were females and 1 was male who underwent total, subtotal, and hemithyroidectomy. Three out of 10 turned out to be malignant for whom completion thyroidectomies were done endoscopically. The average blood loss was 29.5 cc and the mean operative time was 72 min. The average thyroid specimen volume was 115.4 cc with an average nodule size of 6.7 cm. Patients were discharged on the first post-operative day except one on the second post-op day. Post-operative scar was evaluated on the 14th day. 3D endoscopic thyroidectomy is definitely a step ahead in the management of large size MNGs and STNs. It gives excellent depth perception and magnification which helps in identification and preservation of important nerves and vessels which ensures safe removal of the thyroid from its bed.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Abbreviations
- MNGs:
-
Multinodular goitres
- STNs:
-
Solitary thyroid nodules
References
Miccoli P, Berti P, Raffaelli M, Conte M, Materazzi G, Galleri D (2001) Minimally invasive video-assisted thyroidectomy. Am J Surg 181:567–570
Puntambekar SP, Palep R, Patil A, Rayate NV, Joshi SN, Agarwal G, Joshi M (2007) Endoscopic thyroidectomy: our technique. J Minim Access Surg 3(3):91–97
Minuto MN, Berti P, Miccoli M, Matteucci V, Moretti M, Basolo F, Miccoli P (2012) Minimally invasive video-assisted thyroidectomy: an analysis of results and a revision of indications. Surg Endosc 26:818–822. doi:10.1007/s00464-011-1958-9
Miccoli P, Berti P, Raffaelli M, Materazzi G, Baldacci S, Rossi G (2001) Comparison between minimally invasive video-assisted thyroidectomy and conventional thyroidectomy: a prospective randomized trial. Surgery 130:1039–1043. doi:10.1067/msy.2001.118264
Pons Y, Vérillaud B, Blancal JP, Sauvaget E, Cloutier T, Le Clerc N, Herman P, Kania R (2013) Minimally invasive video-assisted thyroidectomy: learning curve in terms of mean operative time and conversion and complication rates. Head Neck 35:1078–1082. doi:10.1002/hed.23081
Singh A, Saraiya R (2013) Three-dimensional endoscopy in sinus surgery. Curr Opin Otolaryngol Head Neck Surg 21:3–10. doi:10.1097/MOO.0b013e32835bf58c
Brown SM, Tabaee A, Singh A, Schwartz TH, Anand VK (2008) Three-dimensional endoscopic sinus surgery: feasibility and technical aspects. Otolaryngol Head Neck Surg 138:400–402. doi:10.1016/j.otohns.2007.12.007
Way LW, Stewart L, Gantert W, Liu K, Lee CM, Whang K, Hunter JG (2003) Causes and prevention of laparoscopic bile duct injuries: analysis of 252 cases from a human factors and cognitive psychology perspective. Ann Surg 237:460–469
Conflict of Interest
The authors declare that they have no competing interests.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Puntambekar, S., Sharma, V., Kumar, S. et al. Management of Large Size MNGs and STNs Using 3D Endoscopic Technique: a Review of 10 Cases. Indian J Surg 78, 117–120 (2016). https://doi.org/10.1007/s12262-015-1330-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-015-1330-8