Endoscopic thyroidectomy via the breast areolae:90 cases

VernacularTitle:90例经胸乳入路腔镜下甲状腺手术
Author: Feng CHEN ; Baogen ZHANG
Publication Type:Journal Article
Keywords: Via the breast areolae; Endoscopic; Thyroidectomy
From:Journal of Endocrine Surgery 2013;7(1):16-18
CountryChina
Language:Chinese
Abstract: Objective To evaluate the clinical application of endoscopic thyroidectomy via the breast areolae.Methods From Aug.2010 to Nov.2011,90 patients with benign thyroid nodules(＜6 cm)received endoscopic thyroidectomy in our department.Three trocars were used during the surgery.Small incisions were made at the points 1.2 cm away from the breast cleavage,1 cm or 0.5 cm away from the left and right breast areola to place the trocars.Ultrasonic harmonic scalpel was used to remove the thyroid nodules.Results 89 patients were treated successfully by endoscopy and 1 case was converted to open surgery because of thyroid cancer with central lymph node metastasis diagnosed by intraoperative rapid pathological assessment.The medium operation time was 100 minutes,ranging from 90 to 240 minutes.The average intraoperative blood loss was 20 ml,ranging from 10 to 120 ml.The mean postoperative hospitalization stay was 6 days(ranging from 3 to 12 days).85 cases were followed up from 3 to 13 months with 6 months as the average,during which no recurrence happened and no patient developed scars at the breast areolae.Conclusion Endoscopic thyroidectomy via the breast areolae is feasible and safe with excellent cosmetic effects.