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Minimally invasive endoscopic thyroidectomy by a cervical approach.
W B Inabnet1, B P Jacob, M Gagner
1Division of Laparoscopic Surgery, Department of Surgery, Mount Sinai Medical Center, 5 East 98th Street, Box 1259, New York, NY 10029, USA. b.inabnet@mountsinai.org
Surgical Endoscopy
|September 26, 2003
Summary
Endoscopic thyroidectomy via a cervical approach is feasible, with most cases completed successfully. Careful dissection of the recurrent laryngeal nerve is crucial for patient safety during this minimally invasive procedure.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Endocrine Surgery
Background:
- Thyroidectomy requires clear visualization of anatomical structures.
- Assessing endoscopic thyroidectomy's feasibility and safety is important.
Purpose of the Study:
- To evaluate the feasibility of endoscopic thyroidectomy using a cervical approach.
- To assess the safety of this minimally invasive technique.
Main Methods:
- Prospective data collection on patients undergoing endoscopic thyroidectomy.
- Retrospective review of a prospective database for analysis.
Main Results:
- 38 patients underwent endoscopic thyroidectomy via cervical approach.
- 35 of 38 cases were successfully completed endoscopically.
- Mean operative time was 190 minutes; one patient had permanent recurrent laryngeal nerve palsy.
Conclusions:
- Endoscopic thyroidectomy by cervical approach is a feasible surgical option.
- Careful recurrent laryngeal nerve dissection is essential, similar to conventional surgery.