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Skills of Minimally Invasive Endoscopic Thyroidectomy via Small Incision of Neck (Experience of 1,226 Cases)

  • Jia Liu
  • Su Dong
  • Xianying Meng
  • Shuai Xue
  • Guang Chen
Conference paper
Part of the Lecture Notes in Electrical Engineering book series (LNEE, volume 269)

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.

Keywords

Thyroidectomy Endoscopy 

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Copyright information

© Springer Science+Business Media Dordrecht 2014

Authors and Affiliations

  • Jia Liu
    • 1
  • Su Dong
    • 2
  • Xianying Meng
    • 1
  • Shuai Xue
    • 1
  • Guang Chen
    • 1
  1. 1.Department of Thyroid SurgeryThe First Hospital of Jilin UniversityChangchunChina
  2. 2.Department of AnesthesiaThe First Hospital of Jilin UniversityChangchunChina

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