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"Sun's Seven-Step Technique" for Endoscopic En-Bloc Resection of Thyroid Cancer via the Chest-Breast Approach
Published on: November 28, 2025
[Endoscopic thyroidectomy via chest and breasts approach in 500 cases]
Cun-chuan Wang1, Jing-ge Yang, You-zhu Hu
1Department of Surgery, First Affiliated Hospital of Jinan University, 510630 Guangzhou, China. wangcunchuan@tom.com
Summary
Endoscopic thyroidectomy via the chest and breast approach offers a safe and effective alternative to open surgery, providing excellent cosmetic results. While complications and costs require improvement, this minimally invasive technique achieves comparable curative effects.
Area of Science:
- Endocrinology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Traditional open thyroidectomy can result in visible scarring.
- Minimally invasive techniques aim to improve cosmetic outcomes and patient satisfaction.
Purpose of the Study:
- To evaluate the safety, efficacy, advantages, and disadvantages of endoscopic thyroidectomy using an anterior chest and breast approach.
- To assess the oncologic outcomes and patient satisfaction with this surgical method.
Main Methods:
- A retrospective analysis of 500 patients undergoing endoscopic thyroidectomy between March 2002 and December 2006.
- Procedures included tumor enucleation, partial lobectomy, subtotal thyroidectomy, and lobectomy for various thyroid conditions, including cancer.
Main Results:
- Successful endoscopic thyroidectomy in 492 patients with a low complication rate (3.6%).
- Mean operative time was 74.5 minutes with minimal blood loss (mean 5.5 ml).
- Excellent cosmetic results were reported, with comparable curative effects to open surgery, though recurrence was noted in a small percentage of cases.
Conclusions:
- Endoscopic thyroidectomy via the chest and breast approach is a safe and effective surgical option.
- The method guarantees superior cosmetic results due to concealed incisions.
- Further improvements are needed to address complications and higher costs associated with this technique.
