Minimally Invasive Techniques in Thyroid Surgery

Chapter

Abstract

The standard access to the thyroid gland in thyroid surgery consists of a curvilinear incision of 5–10 cm in length usually situated 3–4 cm above the suprasternal notch. The incision is typically referred to as “Kocher’s incision” even though Kocher himself, in his famous speech in front of the German Surgical Society in 1883, described his incision type as being more of a Y-shape. Since its early days, Kocher’s incision has proved to be enormously successful, becoming the standard type of access for surgery of benign and malignant thyroid disease until the late 1990s. It allows for safe exposure and meticulous dissection of the thyroid gland and its surrounding structures, which in turn has produced an impressive reduction in perioperative morbidity during the last decades. Nowadays, thyroid surgery is considered to be safe with minimal morbidity and virtually no mortality in specialized hands.

Keywords

Recurrent Laryngeal Nerve Thyroid Surgery Recurrent Laryngeal Nerve Palsy Incisional Length Endoscopic Thyroidectomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Chirurgische Endokinologie, Kantonsspital St. GallenSt. GallenSwitzerland

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