Ultrasound-guided needle localization in trans-mammary endoscopic thyroidectomy: a case report

Area of Science:

• Endocrine Surgery
• Minimally Invasive Surgical Techniques
• Oncology

Background:

• Thyroid nodules are common, with increasing detection rates due to ultrasound technology.
• Traditional open thyroid surgery poses risks of scarring and thyroid dysfunction.
• Minimally invasive approaches are crucial for preserving thyroid function and aesthetics.

Purpose of the Study:

• To evaluate the efficacy of combining ultrasound-guided needle localization with endoscopic thyroidectomy via the trans-breast approach.
• To assess the technique's ability to achieve precise nodule resection while preserving thyroid function and cosmetic outcomes.

Main Methods:

• A 51-year-old female patient with bilateral thyroid nodules underwent endoscopic thyroidectomy.
• Ultrasound-guided needle localization precisely marked the left thyroid nodule.
• Trans-breast endoscopic approach with carbon dioxide insufflation was used for resection.
• A 0.5-cm margin around the nodule was resected under real-time endoscopic guidance.

Main Results:

• The procedure successfully resected thyroid nodules with high precision and minimal damage to surrounding tissue.
• The patient maintained stable thyroid function post-surgery, requiring minimal hormone replacement.
• Excellent cosmetic results were achieved with no scarring, hoarseness, or hypocalcemia.
• Pathology confirmed complete resection of papillary thyroid carcinoma and follicular neoplasm without residual disease.

Conclusions:

• Ultrasound-guided needle localization combined with trans-breast endoscopic thyroidectomy is a safe and effective minimally invasive option.
• This technique balances radical resection with functional and aesthetic preservation in thyroid surgery.
• The approach shows significant potential for improving patient outcomes and quality of life in thyroid nodule management.