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Endoscopic thyroid resection using cutaneous elevation in lieu of insufflation.
H Kitano1, M Fujimura, T Kinoshita
1Department of Otolaryngology, Head and Neck Surgery, Shiga University of Medical Science, Seta, Otsu, Shiga 520-2192, Japan. hkitano@belle.shiga-med.ac.jp
Surgical Endoscopy
|April 19, 2002
Summary
Total video endoscopic surgery offers a safe, minimally invasive approach for resecting thyroid masses, yielding excellent cosmetic outcomes. This technique is still developing, with ongoing efforts to standardize methods and instruments for broader application.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Endoscopic Techniques
Background:
- Laparoscopic surgery for cervical masses is increasingly accepted.
- This study details a technique for total video endoscopic thyroid mass resection.
Purpose of the Study:
- To describe the authors' technique and experience with total video endoscopic surgery for thyroid masses.
- To evaluate the safety, efficacy, and cosmetic outcomes of this minimally invasive approach.
Main Methods:
- Utilized a 12-mm trocar via an infraclavicular incision for camera insertion.
- Employed axillary and anterior chest incisions for endoscope and instruments.
- Achieved exposure by skin elevation, avoiding carbon dioxide insufflation to reduce complications.
Main Results:
- Resected 22 thyroid lesions (13 adenomas, 5 cancers, 3 cysts, 1 Graves' disease).
- Procedures included thyroidectomy, thyroidectomy with isthmusectomy, and subtotal thyroidectomy.
- Excellent cosmetic results were reported for all procedures.
Conclusions:
- Endoscopic neck surgery is safe, minimally invasive, and provides excellent cosmetic results.
- The technique is in early development, requiring further standardization and specialized instruments.
- The field is expected to mature with increased surgeon experience.