Abstract
Objective
The aim of the study was to investigate the value of minimally invasive video-assisted thyroidectomy for thyroid benign adenoma.
Methods
From June 2003 to June 2007, 128 cases of thyroid tumors, including 123 cases of adenoma and 5 cases of carcinoma, were performed by Miccoli’s endoscopic thyroidectomy. The surgical techniques and the clinical outcomes with respect to pathologic results, duration of operation, postoperative drainage, pain, cosmetic results and complications of endoscopic thyroid surgery via the neck approach were retrospectively summarized.
Results
All the patients underwent minimally invasive endoscope-assisted thyroidectomy successfully. Five cases of carcinoma revealed by frozen section. In which, 3 papillary carcinoma cases underwent subtotal thyroidectomy of disease-side in video-assisting, whereas the other 2 cases with follicular and medullary carcinoma underwent conventional total thyroidectomy of disease-side combined with subtotal thyroidectomy of the opposite-side. The transient hoarseness occurred in one patient and recovered well one week later, and the other patients recovered successfully without any complications.
Conclusion
Minimally invasive video-assisted thyroidectomy for thyroid adenoma is safe and reliable. This procedure offers a shorter incision, less invasion and better cosmetic results as compared with conventional thyroidectomy.
We’re sorry, something doesn't seem to be working properly.
Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.
References
Gagner M. Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism. Br J Surg, 1996, 83: 875.
Hüscher CS, Chiodini S, Napolitano C, et al. Endoscopic right thyroid lobectomy. Surg Endosc, 1997, 11: 877.
Wang ML, Zheng MH, Zhang T, et al. Experience in performing endoscopic thyroid surgery via the anterior chest wall approach: a report of 77 cases. J Surg Concepts Pract (Chinese), 2005, 10: 516–518.
Gao L, Hu Y, Shao Y, et al. Application of Miccoli’s endoscopic thyroidectomy with technical modifications — a report of 530 cases. J Surg Concepts Pract (Chinese), 2004, 9: 470–472.
Gao L, Xie L, Li H, et al. Using ultrasonically activated scalpels as major instrument for vessel dividing and bleeding control in minimally invasive video-assisted thyroidectomy. Chin J Surg (Chinese), 2003, 41: 733–737.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Zong, G., Liu, X. & Wang, F. Minimally invasive video-assisted thyroidectomy for thyroid adenoma. Chin. -Ger. J. Clin. Oncol. 8, 460–462 (2009). https://doi.org/10.1007/s10330-009-0093-8
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10330-009-0093-8