Endoscopic thyroidectomy by the breast approach: a single institution's 9-year experience

Area of Science:

• Minimally Invasive Surgery
• Endocrinology
• Surgical Oncology

Background:

• Evaluating the feasibility and cosmetic outcomes of endoscopic thyroidectomy using the breast approach for various thyroid conditions.
• Assessing patient satisfaction and long-term results of this minimally invasive technique.

Purpose of the Study:

• To determine the efficacy and aesthetic results of endoscopic thyroidectomy through the breast approach.
• To analyze patient satisfaction and complication rates associated with this surgical method.

Main Methods:

• A retrospective review of 92 patients undergoing endoscopic thyroidectomy (thyroid lobectomy or subtotal thyroidectomy) for benign thyroid diseases between 1998 and 2007.
• Data collection included operative time, complications, and patient-reported satisfaction scores.

Main Results:

• 90 out of 92 procedures were completed successfully with endoscopic techniques.
• Complications were generally minor, including transient nerve palsy and hypertrophic scarring; patient satisfaction was high (mean score 9.3), especially in younger age groups.
• Long-term follow-up revealed minimal persistent issues like paresthesia or swallowing discomfort.

Conclusions:

• Endoscopic thyroidectomy by the breast approach is a safe and effective procedure for thyroid diseases.
• The technique yields excellent cosmetic results and high patient satisfaction, making it a viable option for patients seeking minimal scarring.