Endoscope thyroid lobectomy through subclavicular approach.
- Author:
Xiaobao YAO
1
;
Xiaoxia WANG
;
Jinfeng YAN
;
Shaoqiang ZHANG
;
Honghui LI
;
Yanxia BAI
;
Liying YAN
Author Information
1. Department of Otolaryngology, First Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an 710061, China. yaoxiaobao@sohu.com
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Clavicle;
surgery;
Endoscopy;
Female;
Humans;
Male;
Middle Aged;
Thyroid Gland;
pathology;
surgery;
Thyroidectomy;
methods;
Young Adult
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2013;27(3):125-127
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the clinical applications of endoscopic thyroid lobectomy through subclavicular approach and to summarize the surgical experiences.
METHOD:Thirty-five cases were subjected to endoscopic thyroid lobectomy through subclavicular approach. Briefly, operative cavities were established by automatic retractors and the affected lobes were dissected and removed using suction dissectors combined with the harmonic scalpels. The inferior thyroid artery was used as the mark to locate the recurrent laryngeal nerve.
RESULT:All the operations achieved successfulness with no complication. 33 out of 35 were intraoperatively diagnosed by frozen-pathology as goiter and the last two cases were diagnosed as papillary thyroid carcinoma. There were no postoperative swelling, numbness or other kinds of uncomfortableness with benign patients and they were satisfied with the cosmetic outcomes.
CONCLUSION:Endoscopic thyroid lobectomy through subclavicular approach for thyroid benign lesions has the advantages of minimal invasion, high safety, easy manipulation and good cosmetic outcomes, which are worth of wide applications.