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Related Experiment Videos

Endoscopic thyroid surgery through the axillo-bilateral-breast approach.

Kenzo Shimazu1, Eiichi Shiba, Yasuhiro Tamaki

  • 1Department of Surgical Oncology, Graduate School of Medicine, Osaka University, Suita, Japan.

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|June 24, 2003
PubMed
Summary

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A novel endoscopic thyroid surgery, the axillo-bilateral-breast approach (ABBA), offers improved views and cosmetic results compared to the breast approach (BA). ABBA surgery is faster and involves less blood loss, making it a viable option for thyroid tumor removal.

Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Traditional breast approach (BA) endoscopic thyroid surgery can result in hypertrophic scarring due to parasternal incisions.
  • Improved visualization and instrument maneuverability are crucial for endoscopic thyroidectomy outcomes.

Purpose of the Study:

  • To introduce and evaluate the axillo-bilateral-breast approach (ABBA) for endoscopic thyroid surgery.
  • To compare the clinical outcomes and cosmetic results of ABBA with the conventional BA.

Main Methods:

  • Development of the ABBA technique with modified port sites for enhanced surgical field.
  • Retrospective comparison of clinical outcomes between 12 patients treated with ABBA and 4 patients treated with BA for benign thyroid tumors.

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Main Results:

  • ABBA group showed significantly shorter mean operation time (188 min vs. 270 min, P < 0.01) and reduced mean blood loss (53 mL vs. 108 mL) compared to BA.
  • No conversions to open surgery or significant intraoperative complications were reported for ABBA.
  • Operative scars from ABBA were inconspicuous within weeks, offering superior cosmetic results.

Conclusions:

  • The axillo-bilateral-breast approach (ABBA) is a feasible and advantageous method for endoscopic thyroid surgery.
  • ABBA offers significant improvements in operative efficiency and cosmetic outcomes over the traditional breast approach (BA).
  • ABBA is particularly recommended for young patients seeking optimal aesthetic results after thyroidectomy.