Minimally invasive endoscopic thyroidectomy by a cervical approach

Original article

Abstract

Background: The technique of thyroidectomy mandates adequate visualization of the operative field to identify pertinent anatomical structures. The purpose of this prospective review was to assess the feasability and safety of endoscopic thyroidectomy by a cervical approach. Methods: All patients who underwent endoscopic thyroidectomy were assessed by retrospective review of a prospective database. Results: Thirty-eight patients underwent endoscopic thyroidectomy by a cervical approach. Thirty-five of 38 cases were successfully completed endoscopically with a mean OR time of 190 min. One patient experienced a permanent recurrent laryngeal palsy. Conclusion: Endoscopic thyroidectomy by a cervical approach is a feasible procedure. As in conventional thyroid surgery, great care should be exercised when dissecting the recurrent laryngeal nerve.

Thyroidectomy Endoscopic Thyroid surgery Minimally invasive Video-endoscopic 

References

  1. 1.
    Gagner, M 1996Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism [letter].Br J Surg83875PubMedGoogle Scholar
  2. 2.
    Gagner, M, Inabnet, WB 2001Endoscopic thyroidectomy for solitary thyroid nodules.Thyroid11161163PubMedGoogle Scholar
  3. 3.
    Giddings, AE 1998The history of thyroidectomy.J R Soc Med9136Google Scholar
  4. 4.
    Ikeda, Y, Takami, H, Sasaki, Y, Kan, S, Niimi, M 2000Endoscopic neck surgery by the axillary approach.J Am Coll Surg191336340CrossRefPubMedGoogle Scholar
  5. 5.
    Miccoli, P, Berti, P, Raffaelli, M, Materazzi, G, Baldacci, S, Rossi, G 2001Comparison between minimally invasive video-assisted thyroidectomy and conventional thyroidectomy: a prospective randomized study.Surgery13010391043CrossRefPubMedGoogle Scholar
  6. 6.
    Ohgami, M, Ishii, S, Arisawa, Y, Ohmori, T, Noga, K, Furukawa, T, Kitajima, M 2000Scarless endoscopic thyroidectomy: breast approach for better cosmesis.Surg Laparosc Endosc Percutan Tech10339340CrossRefPubMedGoogle Scholar
  7. 7.
    Rubino, F, Nahouraii, R, Deutsch, H, King, W, Inabnet, WB, Gagner, M 2002Endoscopic carotid artery surgery in a porcine model.Surg Endosc16789794CrossRefPubMedGoogle Scholar
  8. 8.
    Soh, EY, Clark, OH 1996Thyroid Cancer 2: surgical considerations and approach to thyroid cancer.Endocrinol Metab Clin25115139Google Scholar
  9. 9.
    Wheeler, MH 1998The technique of thyroidectomy.J R Soc Med911216Google Scholar
  10. 10.
    Yeh, TS, Jan, YY, Hsu, BR, Chen, KW, Chen, MF 2000Video-assisted endoscopic thyroidectomy.Am J Surg1808285CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  1. 1.Division of Laparoscopic Surgery, Department of SurgeryMount Sinai Medical Center, 5 East 98th Street, Box 1259, New York, NY 10029USA

Personalised recommendations