Gasless Video-assisted Endoscopic Thyroidectomy via the Infraclavicular Approach:Report of 34 Cases
- VernacularTitle:免注气锁骨下途径腔镜辅助甲状腺肿瘤切除术34例
- Author:
Lisheng CAI
;
Mingzhi CAI
;
Hong XU
- Publication Type:Journal Article
- Keywords:
Endoscopy;
Thyroid neoplasms;
Thyroidectomy;
Infraclavicular approach
- From:
Chinese Journal of Minimally Invasive Surgery
2005;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility and advantages of gasless endoscopic thyroidectomy via the infraclavicular approach.Methods A single 2-to 4-cm infraclavicular incision was made at the ipsilateral side under local anesthesia.The subplastysmal plane was dissected up to the anterior neck to build a gasless space by mechanical method.Afterwards,by using ultrasonic scalpel,thyroidectomy was performed.Results The procedure was completed in 34 cases with a mean operation time of(120?30) min and mean blood loss of(20?12) ml.After the surgery,3 patients developed subcutaneous fluid and 1 patient had incisional infection,all of the 4 patients were cured by conservative therapy.The 34 cases were followed up for 1 to 30 months with a mean of 18.5 months,during the period,none of them had recurrence.Conclusions Gasless endoscopic thyroidectomy via the infraclavicular approach is a simple and safe method with good cosmetic outcomes.
