10 Year-Experience of Endoscopic Thyroidectomy for Papillary Thyroid Microcarcinoma in Single Institution: Breast Approach and Gasless Transaxillary Approach.
10.4174/jkss.2010.79.5.326
- Author:
Yeoung Eun KIM
1
;
Ha Na KWAK
;
Jun Ho KIM
;
Yoon Jung CHOI
;
Ji Sup YUN
;
Byung Ho SON
;
Yong Lai PARK
Author Information
1. Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. yonglai.park@samsung.com
- Publication Type:Original Article
- Keywords:
Endoscopic thyroidectomy;
Papillary thyroid microcarcinoma;
Breast approach;
Gasless transaxillary approach
- MeSH:
Breast;
Carcinoma, Papillary;
Cosmetics;
Hemorrhage;
Hoarseness;
Humans;
Hypocalcemia;
Imidazoles;
Length of Stay;
Nitro Compounds;
Postoperative Complications;
Sex Ratio;
Thoracic Wall;
Thyroid Gland;
Thyroid Neoplasms;
Thyroidectomy
- From:Journal of the Korean Surgical Society
2010;79(5):326-331
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Endoscopic thyroid surgery has been widely used because of the cosmetic advantage and the development of laparoscopic instruments. We have performed endoscopic thyroidectomy by breast approach and gasless transaxillary approach on papillary thyroid microcarcinomas. In this study, we describe these two types of endoscopic procedures with the technique of the method and surgical outcomes. METHODS: From Oct. 1999 to Oct. 2009, each procedure was performed in 162 patients divided into two groups. Breast approach group was in 91 patients and gasless transaxillary approach group was in 71 patients. We compared the results of mean ages, sex ratio, extent of operation, mean hospital stay, operating time, pathologic characteristics and postoperative complications between the breast approach group and gasless transaxillary approach group. RESULTS: Ninety-one cases treated using breast approach, and seventy-one cases treated using gasless transaxillary approach. The operation time was 197.4+/-60.7 minutes (95~350) in breast approach group, and 100.1+/-19.8 minutes (65~140) in gasless transaxillary approach group. Post operative complications are; 2 cases of transient hoarseness, 8 cases of hypocalcemia (including 2 cases of permanent hypocalcemia), 2 cases of chest wall discomfort in breast approach group, and 1 case of transient hoarseness, 2 cases of transient hypocalcemia, 1 case of postoperative bleeding in gasless axillary approach group. CONCLUSION: Endoscopic thyroidectomy is a safe and technically feasible alternative to conventional thyroidectomy in patients with benign and highly selected malignant disease. We expect it can increase the extent of surgery.
