From May 2003 to 30 June 2004, 173 patients including 163 females and 10 males suffering from thyroidectomy was performed safely, successfully. Surgeon must prosess good skill on open surgery as well as on endoscopic surgery. The indication of this method was a routine only in nodule goiter in one lobe, but in multinoduli goiter in two lobes and in basedow the operationc success was still limited, especially for basedow disease, it must be prepare well pior to operation. It can made the incision from the anterior wall of the chest or from armpit with more cosmetic benefits
Thyroidectomy ; endoscopy ; methods

Contraindications ; Humans ; Thyroidectomy ; methods

Humans ; Thyroid Neoplasms ; surgery ; Thyroidectomy ; methods ; standards

Humans ; Thyroid Neoplasms ; surgery ; Thyroidectomy ; methods

PURPOSE: The purpose of this study was to identify the common themes of the experiences of women with thyroidectomies in Korea. METHODS: A descriptive phenomenological method was used in this study. The data were collected by individual in-depth interviews with six participants, and analyzed using methods presented by Colaizzi. RESULTS: Five theme clusters were derived from the data as follows: "Uninvited guest came without notice", "Feeling of confinement", "Suffering and endurance to live", "Added suffering for a woman", "The crossover of anxiety and affirmation" CONCLUSION: The results of this study can guide nurses to understand women with thyroidectomy and contribute to the nursing education program development and improvement of nursing practice.
Anxiety ; Education, Nursing ; Female ; Humans ; Methods ; Nursing ; Program Development ; Thyroidectomy*

Gasless endoscopic surgery was applied to thyroidectomy. The procedure is a safe and technically feasible method producing good cosmetic results. Compared to the previous endoscopic thyroidectomies, this method is superior with respect to performing hemostasis and minimizing the possible complications resulting from gas insufflating surgery (e.g. hypercapnea or massive subcutaneous empysema). We successfully performed the removal of 37 thyroid tumors of 35 cases by gasless endoscopic surgery without any significant complications. No scars remained in the neck and all patients were satisfied with the cosmetic results. Gasless endoscopic thyroidectomy will become a strong alternative to conventional thyroidectomy for cases of benign thyroid tumors requiring good cosmetic results.
Cicatrix ; Hemostasis ; Humans ; Methods ; Neck ; Thyroid Gland ; Thyroidectomy*

No abstract available.
Carbon Dioxide* ; Carbon* ; Cicatrix* ; Lasers, Gas* ; Methods* ; Thyroidectomy*

Objective:To investigate the value of retrograde thyroidectomy from top to bottom in the operation of retrosternal thyroid surgery. Methods:Retrospective analysis was performed on the cases of retrosternal goiter excised by our surgeons from January 2017 to June 2022,the technical points, feasibility and advantages of the operation were summarized. Results:A total of 15 cases of retrosternal goiter treated by retrograde thyroidectomy were collected, including 5 cases of type Ⅰ retrosternal goiter and 10 cases of type Ⅱ retrosternal goiter.The postoperative pathology was benign. The surgical time is 40-60 minutes for unilateral retrosternal goiter and 70-90 minutes for bilateral goiter. All patients were discharged normally within 7 days after operation, and no operative complications were observed such as bleeding, hoarseness or hypoparathyroidism. Conclusion:This surgical excision method of thyroid is suitable for the type Ⅰ and type Ⅱ retrosternal goiter surgery, which can avoid the difficulties in exposing and separating the the inferior thyroid behind the sternum in conventional surgical method, speed up the operation and reduced the difficulty of operation, and has certain promotion value in clinic.
Humans ; Thyroidectomy/methods* ; Retrospective Studies ; Goiter, Substernal/pathology* ; Hypoparathyroidism/surgery*

OBJECTIVE: To investigate the possibility of thyroidectomy/lobectomy without drainage after surgery. METHOD: Eighty-eight consecutive cases with thyroid mass have been underwent operations including: lobectomy group(42 cases), thyroid lobectomy with contralateral partial thyroidectomy group (17 cases) and total thyroidectomy group (29 cases) from 2013. 06 to 2014. 06 in Nanjing Tongren Hospital. FIfteen patients with thyroid operation in other hospital were collected from 2014. 01 to 2014. 06, the recovery of postoperative incision were compared. RESULTS: Eighty-four cases were smoothly discharged from hospital except 4 thyroidectomy cases suffered from a small amount of effusion in surgical cavity. Our postoperative wound recovery were more in line with the principle of cosmetology compared with other hospital operation group. CONCLUSION Drainage following thyroidectomy is not essential, if the thyroid surgery is meticulous in each step of the surgery, and can increase the effect of beauty.
Drainage ; methods ; Humans ; Postoperative Period ; Thyroid Diseases ; Thyroidectomy

BACKGROUNDWith the development of natural orifice trans-luminal endoscopic surgery, studies on transoral video-assisted thyroidectomy in preclinical experiments (e.g., human anatomy and animal trials) were progressing gradually. From 2009 to 2011, embalmed human cadavers were dissected to define the anatomical location, surgical planes, and related neural and vascular structures to create a safe transoral access to the front cervical spaces. Recently, experimental transoral endoscopic thyroidectomy was performed to verify the feasibility of this approach on 15 fresh specimens.

METHODSFifteen specimens were placed in the supine position with slight neck extension. Endoscopic incision was made on the midline between the Wharton's duct papillae and two other incisions were made on mandibular first premolar buccal mucosa. Sublingual combined bilateral vestibular tunnels were created from oral cavity to the cervical region. The neck subplatysmal working space was insufflated with CO2 at 6-8 mmHg. The bilateral thyroid lobes and central lymph nodes were dissected under craniocaudal view.

RESULTSThree incisions were made in the oral cavity without any incisions on the body surfaces. The distance from the oral cavity to front neck region was the shortest. Bilateral thyroid lobes and central neck region were fully resected via transoral approach. This approach provided a craniocaudal view, in which retrosternal thyroid gland and lymph nodes were easily accessible. The recurrent laryngeal nerve could be identified safely on the inferior cornu of the thyroid cartilage. The only structure at risk was the mental nerve. Camera motion was somewhat limited by the maxillary dentition. The volume of harvested thyroid nodule through sublingual tunnel in the fifteen human cadavers was (40 ± 15) cm(3).

CONCLUSIONThe transoral procedure is progressive and innovative which not only gives the best cosmetic result and minimal access trauma but also provides a craniocaudal view.

Cadaver ; Endoscopy ; methods ; Female ; Humans ; Male ; Neck Dissection ; methods ; Thyroidectomy ; Video-Assisted Surgery ; methods