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KMID : 0365720010170000093
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Journal of Pusan Surgical Society
2001 Volume.17 No. 0 p.93 ~ p.98
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Endoscopic Thyroidectomy
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채병도 / Chai BD
최병석 / 박명만 / 박경환 / Choi BS / Park MM / Park KH
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Abstract
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Background : In recent years, endoscopic surgery has been widely applied with a view to minimizing tissue trauma and wound-related complications and improving cosmetic outcomes. Several experimental and clinical reports concerning endoscopic thyroid surgery have appeared. In this paper we report our early experience of endoscopic thyroidectomy of benign thyroid tumors in seven patients, mainly looking at technical feasibility and the ability to reduce neck wound to a minimum. Methods : Seven patients were selected for endoscopic thyroidectomy. The procedure is carried out through three trocars. Two at each circumareolar area on the breast(12mm) and one in the subclavicular skin on the lesion side(5mm). Subcutaneous and subplatysmal space were dissected bluntly and endoscopically. Air pocket was created with CO2 insufflation at 6mmHg. Dissection and division of thyroid parenchyme and vessels were performed using ultrasonically activated scalpel and conventional endoscopic instruments. Results : We performed 6 endoscopic lobectomies. Conversion to open procedure was required once, due to uncontrolled intraoperative bleeding. Mean operative time was 226 minutes. We observed 2 cases of transient recurrent laryngeal nerve palsy. The cosmetic result was considered excellent by most patients. Conclusions : Endoscopic thyroidectomy is feasible and safe. The indications are limited at present, but the results are encouraging, and we are hopeful about the future expansion of its applicability.
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