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Video-assisted thyroid lobectomy through a small wound in the submandibular area
Hiroyuki Yamashita1, Shin Watanabe, Eisuke Koike
1Noguchi Thyroid Clinic and Hospital Foundation, 6-33 Noguchi-Nakamachi, 874-0932, Beppu Oita, Japan. yama@noguchi-med.or.jp
American Journal of Surgery
|April 12, 2002
Summary
This study introduces a novel video-assisted hemithyroidectomy technique using a single small neck incision. The minimally invasive approach offers a safe, efficient, and cosmetically superior alternative for treating benign thyroid nodules.
Area of Science:
- Surgical Oncology
- Endocrinology
- Minimally Invasive Surgery
Background:
- Endoscopic thyroidectomy faces challenges including required expertise, long operation times, extensive dissection, and high instrument costs.
- A novel video-assisted hemithyroidectomy procedure was developed to address these limitations.
Purpose of the Study:
- To evaluate the safety and efficacy of a minimally invasive video-assisted hemithyroidectomy.
- To present a new surgical technique for thyroid nodule treatment with improved cosmetic outcomes.
Main Methods:
- Hemithyroidectomy performed via a 25-30 mm transverse incision in the upper lateral neck for benign thyroid nodules.
- The procedure did not require gas insufflation or external lifting devices for dissection.
Main Results:
- 39 patients (mean age 33.8 years) with benign thyroid nodules (mean size 3.1 cm) underwent the procedure.
- All patients completed total lobectomy without conversion to open cervicotomy; mean operation time was 56 minutes.
- Pathologic diagnoses included follicular adenoma (25 patients) and adenomatous goiter (14 patients); one patient experienced transient recurrent laryngeal nerve palsy.
Conclusions:
- The developed video-assisted hemithyroidectomy technique is safe and minimally invasive.
- This approach is less time-consuming compared to traditional methods.
- The procedure offers excellent cosmetic results for patients undergoing hemithyroidectomy.