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Related Experiment Videos

Endoscopic transaxillary thyroid lobectomy: flexible vs rigid laparoscope.

Suthep Udomsawaengsup1, Patpong Navicharern, Chadin Tharavej

  • 1Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|August 9, 2005
PubMed
Summary

Endoscopic thyroid lobectomy using a rigid laparoscope is a safe and effective alternative for treating solitary thyroid nodules, offering comparable intra-operative results and excellent cosmetic outcomes.

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Area of Science:

  • Minimally Invasive Surgery
  • Endocrinology
  • Surgical Technology

Background:

  • Endoscopic thyroid lobectomy for benign solitary thyroid nodules has advanced, offering feasibility, safety, and cosmetic benefits.
  • The study explores the utility of a rigid laparoscope, a simpler, less expensive, and widely available tool, for this procedure.

Purpose of the Study:

  • To compare operative time, blood loss, and complications between flexible and rigid laparoscopes in endoscopic transaxillary thyroid lobectomy.
  • To evaluate the feasibility and outcomes of using a rigid laparoscope for solitary thyroid nodules.

Main Methods:

  • A comparative study involving 13 patients with benign solitary thyroid nodules undergoing endoscopic transaxillary thyroid lobectomy.
  • Nine patients received flexible laparoscope techniques, while four utilized a 30-degree rigid laparoscope.

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  • Standardized port sites, number of ports, and dissection methods were employed by the same surgeon.

    • Main Results:

    • The rigid laparoscope group showed a shorter mean operative time (145 minutes) compared to the flexible laparoscope group (175.63 minutes).
    • No recurrent laryngeal nerve injury or subcutaneous emphysema occurred in either group.
    • Patient satisfaction with cosmetic results was high in both groups, with one complication (torn internal jugular vein) in the flexible group.

    Conclusions:

    • Endoscopic thyroidectomy with a rigid laparoscope yields comparable intra-operative results to flexible laparoscopes.
    • The rigid laparoscope presents a viable, cost-effective, and accessible surgical option for thyroid nodule treatment, maximizing cosmetic outcomes.