Application of modified endoscopic thyroidectomy via chest and breast areola approach for benign thyroid disease paiients
10.3724/SP.J.1008.2013.00801
- Author:
Feng YANG
1
Author Information
1. Department of General Surgery, The Third Affiliated Hospital of Guiyang Medical College
- Publication Type:Journal Article
- Keywords:
Endoscopy;
Minimally invasive surgical procedures;
Noiiied;
Thyroidectomy
- From:
Academic Journal of Second Military Medical University
2013;34(7):801-804
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the safety and feasibility of modiiied endoscopic thyroidectomy via chest and breast areola approach for benign thyroid disease paiients. Methods A total of56 femaie benign thyroid disease paiients, who recsived endoscopic thyroidectomy n our hospital from March 2011 to March 2012, were included in this study. And 28 of them underwent modified endoscopic thyroidectomy (modified group). Taking the advantage of movable female breast and the long rod-shaped endoscopic Instrument, the operaiion was modfiied based on endoscopic thyroidectomy via chest and breast areola approach, without subcutaneousdissection of the chest wall. Another 28 paiients receded conventional approach treatment (conventional group). The two groups were matched m mean age and disease causes. The operation time, blood loss, postoperative pam degree, post-operation hospital stay, and compiications were compared between the two groups. Results The operation time, blood loss, post-operation hospital stay, and post-operation drainage volume werenot significantly different between the two groups. Compared with paiients n the conventional group, paiients n modified group suffered significantly iess post-operation pain, with mean visual analogue scaie scores bini 3. 0±1. 6 vs 4. 5±1. 8 (P=0. 042). The modified group also had significantly reduced ineidenceof skin redness and subcutaneous ecchymosis, edema and chanceof effuson on the antesor chest wall (0 vs 21. 4%, P = 0. 01). There were no damages to recurrent laryngeal nerve or parathyroid glands or postoperative hemorrhage n the 56 paiients. Concluiion The modfiied endoscopic thyroidectomy via chest and breast areola approach is a safe and effective method, and it can greatiy reduce the trauma of conventional endoscopic thyroidectomy.
