A Clinical Analysis of Endoscopic Thyroid Lobectomy and Comparison with Conventional Thyroid Lobectomy.
- Author:
Hyeon Soo KIM
1
;
Dae Seong KWON
;
Jun Sik KIM
;
Duk Jin MOON
Author Information
1. Department of Surgery, Gwangju Christian Hospital, Gwangju, Korea. max697@chol.com
- Publication Type:Original Article
- Keywords:
Endoscopic thyroidectomy;
Breast approach
- MeSH:
Breast;
Carbon Dioxide;
Diagnosis;
Drainage;
Humans;
Intraoperative Complications;
Length of Stay;
Neck;
Needles;
Retrospective Studies;
Thyroid Gland*;
Thyroid Nodule;
Thyroidectomy;
Ultrasonography
- From:Journal of the Korean Surgical Society
2005;69(6):450-454
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: A conventional thyroidectomy requires a wide transverse incision on the anterior neck, which can cause significant scaring. We developed an endoscopic thyroid lobectomy using the breast approach and a low carbon dioxide pressure in order to produce better cosmetic results. We reports the clinical analysis of endoscopic thyroid lobectomy and compare the result with those from a conventional thyroid lobectomy. METHOD: From July 2003 and December 2004, 55 consecutive patients with benign thyroid nodules, who underwent endoscopic thyroid lobectomy, and 51 consecutive patients with benign thyroid nodules, who underwent a conventional thyroid lobectomy, were retrospectively reviewed. The preoperative diagnosis of the thyroid nodules was performed using high-resolution ultrasonography and fine- needle aspiration cytology. The clinical results of endoscopic thyroid lobectomy were analyzed and compared with those from a conventional thyroid lobectomy. RESULTS: There were no significant differences between the two groups in terms of the patients' gender, size of tumor, preoperative diagnosis (follicular tumor/adenomatous nodule), postoperative diagnosis (cancer/benign), level of postoperative discomfort, length of hospital stay. The patients who underwent endoscopic thyroidectomy were significantly younger than those underwent conventional thryoidectomy (37.4+/-10.3 years vs. 48.8+/-13.0 years; P<0.001). The operation time for the endoscopic group was significantly longer than that for the conventional group (171.9+/-35.6 min vs. 92.5+/-26.5 min; P<0.001). The length of closed drainage in the endoscopic group was longer than that in the conventional group (2.8+/-0.8 days vs. 1.4+/-1.3 days; P<0.001). However, these factors did not affect the length of the hospital stay, and the number of intraoperative complications. CONCLUSION: Endoscopic thyroid lobectomy using the breast approach and a low carbon dioxide pressure has cosmetic benefits and is a feasible and safe procedure.
