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Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
Published on: September 15, 2023
Endoscopy-assisted thyroid surgery via a subclavian approach.
Qian Cai1, Xiaoming Huang, Ping Han
1Department of Otolaryngology-Head and Neck, Affiliated Second Hospital, Sun Yat-sen University, 107 Yan Jiang West Road, Guangzhou 510120, China.
Surgery Today
|October 12, 2012
Summary
Endoscopic neck surgery for large benign thyroid tumors offers superior cosmetic results compared to conventional methods. This scar-free technique is effective and safe, with minimal complications.
Area of Science:
- Surgical Oncology
- Endoscopic Surgery
- Thyroid Surgery
Background:
- Benign thyroid tumors often require surgical intervention.
- Conventional thyroidectomy can result in visible neck scarring.
- Minimally invasive techniques aim to improve cosmetic outcomes.
Purpose of the Study:
- To assess the efficacy of an endoscopy-assisted surgical technique for removing large benign thyroid tumors.
- To evaluate the cosmetic results and safety of scar-free neck surgery via a subclavian approach.
Main Methods:
- A comparative study involving 63 patients in the endoscopic group and 79 in the conventional group.
- Endoscopy-assisted surgery utilized a subclavian approach with a 4-6 cm incision.
- Conventional surgery involved a standard approach for comparison.
Main Results:
- All patients had benign tumors confirmed pathologically.
- Cosmetic outcomes were significantly superior in the endoscopic group (P = 0.000).
- No permanent recurrent laryngeal nerve paralysis occurred; transient complications were minor and resolved within weeks.
Conclusions:
- Endoscopic surgery via a subclavian approach is a safe and effective option for large benign thyroid tumors.
- This technique provides excellent cosmetic results with minimal morbidity.
- Scar-free neck surgery is achievable for selected thyroid tumor cases.
