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A novel method for creating working space during endoscopic thyroidectomy via bilateral areolar approach
Yi-Hong Tan1, Guo-Neng Du, Yu-Gen Xiao
11 Department of Thyroid and Breast Surgery, Affiliated Nanhai Hospital of Southern Medical University , Foshan, People's Republic of China .
Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|October 19, 2013
Summary
A novel working space for endoscopic thyroidectomy (ET) via the bilateral areolar approach (BAA) was developed. This technique offers a faster, safer, and more cosmetic alternative for thyroid nodule removal.
Area of Science:
- Minimally Invasive Surgery
- Surgical Anatomy
- Endocrine Surgery
Background:
- Endoscopic thyroidectomy (ET) using the bilateral areolar approach (BAA) has limitations with current working space (WS) creation.
- Existing WS methods involve the pectoral fascia and subplatysmal space, posing challenges.
Purpose of the Study:
- To establish and evaluate a new working space (WS) for endoscopic thyroidectomy (ET) via the bilateral areolar approach (BAA).
Main Methods:
- Retrospective review of 85 patients with benign thyroid nodules undergoing ET via BAA.
- A novel WS was created between superficial pectoral fascia layers in the chest and below the investing layer in the neck.
Main Results:
- WS creation time averaged 7.2 ± 2.1 minutes.
- No intraoperative hemorrhage occurred; 2 cases of fat liquefaction and neck skin flap edema were noted.
- Excellent cosmetic outcomes and patient satisfaction were reported, with no need for postoperative pain medication or skin numbness.
Conclusions:
- The new WS method is simple, rapid, and provides good surgical exposure.
- This technique reduces postoperative pain and the risk of skin complications.
- The novel WS enhances safety and patient satisfaction in endoscopic thyroidectomy.
