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Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
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Mini Anterior Incision versus Conventional Incision in Thyroid Operations
Mustafa Omer Yazıcioglu1, Servet Kocaoz1, Birol Korukluoglu1
1Department of General Surgery, Breast and Endocrine Surgery Clinic, Ministry of Health, Ankara City Hospital, Ankara, Turkey.
Summary
The mini anterior incision for total thyroidectomy offers superior cosmetic results and faster recovery compared to the conventional Kocher
Area of Science:
- Endocrine Surgery
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Thyroidectomy is a common surgical procedure.
- Conventional surgical incisions can result in noticeable scarring.
- Minimally invasive techniques aim to improve cosmetic outcomes and patient recovery.
Purpose of the Study:
- To compare the outcomes of mini anterior incision versus conventional Kocher's incision in total thyroidectomy.
- To evaluate cosmetic results, patient satisfaction, and recovery metrics.
Main Methods:
- An observational cohort study involving 425 patients undergoing total thyroidectomy.
- Patients were divided into two groups: mini anterior incision (132 patients) and conventional incision (293 patients).
- Data collected included incision length, scar appearance, pain, discharge time, return to work, and patient satisfaction.
Main Results:
- The mini anterior incision group showed significantly reduced incision length, scar thickness, discharge time, and time to return to work.
- Patients in the mini anterior incision group reported less pain and more aesthetic surgical outcomes.
- Central lymph node dissection was effectively performed in thyroid cancer patients using the mini anterior incision.
Conclusions:
- A mini anterior incision provides more aesthetic results in total thyroidectomy.
- This minimally invasive approach facilitates effective central lymph node dissection.
- The mini anterior incision enhances patient recovery and satisfaction compared to conventional methods.

