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Related Experiment Videos

Endoscopic transaxillary near total thyroidectomy.

Titus D Duncan1, Ijeoma Acholonu Ejeh, Fredne Speights

  • 1Morehouse School of Medicine, Atlanta Medical Center, Atlanta, Georgia, USA. Titusduncan@msn.com

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|August 3, 2006
PubMed
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Endoscopic transaxillary near total thyroidectomy is a safe and feasible surgical approach for bilateral thyroid disease. This minimally invasive technique allows for effective dissection and assessment of both thyroid lobes.

Area of Science:

  • Minimally Invasive Surgery
  • Endocrinology
  • Surgical Oncology

Background:

  • Endoscopic minimally invasive surgery of the cervical region is established for benign thyroid and parathyroid disease.
  • The endoscopic transaxillary technique offers a remote lateral approach to the thyroid gland.
  • Historically, this technique was limited to unilateral disease due to perceived contralateral access challenges.

Purpose of the Study:

  • To evaluate the safety and feasibility of the endoscopic transaxillary technique for near total thyroidectomy.
  • To assess the ability to dissect and evaluate both thyroid lobes using this approach.

Main Methods:

  • Pre-clinical assessment included porcine and human cadaver models.
  • Three female patients with multinodular goiter underwent endoscopic near total thyroidectomy after IRB approval.

Related Experiment Videos

  • Surgical technique involved a transaxillary approach for bilateral thyroid dissection.

    • Main Results:

    • Contralateral recurrent laryngeal nerve and parathyroid glands were identified in all three patients.
    • No post-operative complications such as bleeding, hoarseness, or subcutaneous emphysema were observed.
    • The average operative time across all models was 142 minutes.

    Conclusions:

    • Endoscopic transaxillary near total thyroidectomy is a safe and feasible procedure for patients with bilateral thyroid disease.
    • This technique expands the application of endoscopic surgery to conditions previously managed with open surgery.