122 cases of endoscopic thyroidectomies through modified chest and mammary areola approach.
- Author:
Jian CHEN
;
Hongmei ZHENG
;
Liang JIANG
;
Wankai DENG
;
Qizhi LI
;
Xiguo LIU
;
Daqing FAN
;
Jialin HE
- Publication Type:Journal Article
- MeSH:
Blood Loss, Surgical;
Breast;
surgery;
Drainage;
Endoscopy;
Feasibility Studies;
Humans;
Postoperative Complications;
Retrospective Studies;
Surgical Flaps;
Thyroidectomy;
methods
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2015;29(7):603-606
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the safety and feasibility of endoscopic thyroidectomies through modified chest and mammary areola approach.
METHOD:We retrospectively analyzed 122 cases of endoscopic thyroidectomies through a modified chest and mammary areola approach without extensive dissection of thoracic flap. The information about general status, surgical procedures and techniques, complications, etc. were summarized and discussed.
RESULT:One hundred and twenty-one cases were operated successfully while 1 case was converted to video-assisted thyroidectomy through infraclavicular approach. The maximum diameter of the mass was (2.05 ± 1.06) cm, mean operation time was (88.61 ± 27.87) min, the operative blood loss was (31.23 ± 16.14) ml, duration of postoperative drainage was (3.54 ± 0.88) d and overall drainage volume was (139.09 ± 95.93) ml. Parathyroid glands were detected in specimens of 9 cases while no case of permanent postoperative hypocalcaemia was displayed. 6 cases of hoarseness were developed. One case experienced conversion surgery, all the others obtained satisfactory cosmetic result. All cases were followed up for 0-24 months without relapse and metastasis of the disease.
CONCLUSION:Endoscopic thyroidectomy via a modified chest and breast areola approach can facilitated the procedure and avoid extensive dissection of thoracic flap, and proved to be safe and effective.
