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Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
Published on: September 15, 2023
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Endoscopic Thyroidectomy for Large-Sized Goiters: Merits of the Axillo-Breast Approach with Gas Insufflation
Islam A Elzahaby1, Essam Attia Ali1, Ahmed Mohammed Farid1
1Mansoura University, Mansoura, Egypt.
Journal of Thyroid Research
|February 15, 2024
Summary
Endoscopic axillo-breast hemithyroidectomy (EABH) is effective for large unilateral goiters, offering good cosmetic results. This minimally invasive approach achieved high patient satisfaction with minimal complications.
Area of Science:
- Endocrinology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Minimal access thyroid surgery presents challenges for large nodules/goiters.
- Endoscopic axillo-breast hemithyroidectomy (EABH) is evaluated for large unilateral goiters.
Purpose of the Study:
- To assess the outcomes of EABH for large unilateral goiters.
- To highlight the benefits of EABH in terms of efficacy and cosmesis.
Main Methods:
- Retrospective analysis of patients undergoing EABH for large unilateral thyroid nodules or goiters.
- Inclusion criteria: nodules ≥6 cm or goiters ≥60 ml.
- Data collected: demographics, clinicopathology, surgical, and esthetic outcomes.
Main Results:
- 33 patients (30 female, 3 male) underwent EABH over 2 years.
- Mean nodule size 5.29 cm, mean goiter volume 101.86 ml.
- All procedures completed endoscopically; 87.9% patient satisfaction; one temporary vocal cord paresis.
Conclusions:
- EABH is an effective and valid approach for large unilateral goiters.
- The technique offers good cosmetic outcomes for patients seeking minimal scarring.
- Success requires surgeon expertise and careful patient selection.
