Gasless Endoscopic Thyroidectomy Using Trans-axillary Approach; Surgical Outcome of 581 Patients
Open Access
- 1 January 2009
- journal article
- Published by Japan Endocrine Society in Endocrine Journal
- Vol. 56 (3), 361-369
- https://doi.org/10.1507/endocrj.k08e-306
Abstract
Purpose: During the past decade, various techniques of endoscopic thyroid surgery have been introduced. We have developed a novel method of gasless endoscopic thyroidectomy via an axillary approach. The present report describes the technique of this method, and analyzes its surgical outcome. Patients and Methods: Between Nov. 2001 and Dec. 2007 (actual operation period was 50 months), 581 patients with thyroid tumors underwent gasless endoscopic thyroidectomy via an axillary approach. The clinical and pathologic characteristics of patients, operation type, operation time, post operative hospital stay and post operative complications were analyzed retrospectively. Results: Among the 581 patients, 171 patients had benign tumor and 410 patients had malignant tumor. There was no conversion to open surgery. The operating time and the length of post-operative hospital stay were 129.4±51.3 minutes, 3.3±1.7 days in benign tumor, and 135.5±47 minutes, 3.4±0.9 days in malignant tumors, respectively. The tumor size was 2.7±1.2 cm in benign tumor and 0.78±0.5 cm in malignancy. Central compartment lymph node metastasis was found in 112 (27.3%) patients and lateral neck lymph node metastasis in 13 (3.1%) patients. As post-operative complications, transient hypocalcemia occurred in 19 patients and transient hoarseness was in 13 patients and permanent vocal cord palsy occurred in 2 patients. In the TNM stage, 366 (89.2%) patients were stage I, 43 (10.5%) patients were stage III and 1 (0.2%) patient was stage IVA. Conclusion: According to our experience, gasless endoscopic thyroidectomy using a trans-axillary approach is a feasible and safe method. Endoscopic thyroid surgery has become a new treatment modality for the patients with benign tumors and can be an effective alternative treatment for the selected patients with thyroid cancer.Keywords
This publication has 25 references indexed in Scilit:
- Report on 8 years of experience with video-assisted thyroidectomy for papillary thyroid carcinomaSurgery, 2007
- Presidential Address: Minimally invasive endocrine surgery—standard of treatment or hype?Surgery, 2003
- Comparison of ultrasonic energy, bipolar thermal energy, and vascular clips for the hemostasis of small-, medium-, and large-sized arteriesSurgical Endoscopy, 2003
- Endoscopic neck surgery with lymph node dissection for papillary carcinoma of the thyroid using a totally gasless anterior neck skin lifting methodJournal of the American College of Surgeons, 2003
- Comparative study of thyroidectomiesSurgical Endoscopy, 2002
- Endoscopic thyroid resection using cutaneous elevation in lieu of insufflationSurgical Endoscopy, 2001
- Endoscopic Thyroidectomy for Solitary Thyroid NodulesThyroid®, 2001
- Endoscopic neck surgery by the axillary approachJournal of the American College of Surgeons, 2000
- Endoscopic right thyroid lobectomySurgical Endoscopy, 1997
- Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidismBritish Journal of Surgery, 1996