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Minimally invasive video-assisted surgery of the thyroid: A preliminary report


, : Minimally invasive video-assisted surgery of the thyroid: A preliminary report. Langenbeck's Archives of Surgery 385(4): 261-264, July

Background: Endoscopic thyroidectomy has not yet met the favor of most endocrine surgeons. We evaluated the technical feasibility of a video-assisted approach to thyroid surgery. Patients and methods: The study group comprised 22 females and 5 males, all with a single thyroid nodule. The nodule was "hot" in 4 patients, microfollicular in 17 and with Hurthle cell cytology in 6. A 15-mm skin incision was made above the sternal notch. The midline was opened and a 12-mm trocar inserted into the thyro-tracheal groove. It was inflated with CO2 for 3 min. The trocar was then removed and the procedure performed using external retractors and needlescopic instruments. The upper pedicle was dissected. Identification of recurrent nerve and parathyroid glands was facilitated by endoscopic magnification. The upper gland portion was then retracted out of the operative cavity; inferior veins were ligated and the lobe entirely extracted and dissected. Frozen section was obtained for "cold" nodules. Results: Video-assisted hemithyroidectomy was accomplished in 24 patients; 1 underwent video-assisted total thyroidectomy (positive frozen section). Cervicotomy was required once to achieve hemostasis and once to perform total thyroidectomy (positive frozen section). Mean operative time was 82 min (range 60-120 min). No complications were registered. The cosmetic result was excellent. Conclusions: Video-assisted thyroid surgery is feasible and may improve cosmetic outcome; total thyroidectomy can be accomplished through the same access point.

US$19.90

PMID: 10958509

DOI: 10.1007/s004230000141


Other references

Rakower, W., 1957: The Value of Having a Vasoconstrictor in Local Anesthetic Solutions. Newsmonthly. American Dental Society of Anesthesiology 4(9): 15-15

Lee, S-Cheung.; Wu, C-Tsai.; Lee, S-Tseng.; Chen, P-Jen., 2008: Cranioplasty using polymethyl methacrylate prostheses. In this retrospective study we attempted to assess the clinical performance of prefabricated polymethyl methacrylate (PMMA) prostheses and to determine whether they outperform intra-operatively moulded PMMA prostheses in reducing operating time, b...

Zhang, J.; Lin, A.; Powers, J.; Lam, M.P.; Lotz, C.; Liem, D.; Lau, E.; Wang, D.; Deng, N.; Korge, P.; Zong, N.C.; Cai, H.; Weiss, J.; Ping, P., 2013: Perspectives on: SGP symposium on mitochondrial physiology and medicine: mitochondrial proteome design: from molecular identity to pathophysiological regulation. Journal of General Physiology 139(6): 395-406

Khan, M.I.; Waguespack, S.G.; Hu, M.I., 2011: Medical management of postsurgical hypoparathyroidism. To provide a clinical update on the management of hypoparathyroidism with focus on postsurgical hypoparathyroidism. Using PubMed, English-language literature was searched related to management of hypoparathyroidism after thyroid and parathyroid su...

Zheng, G.; Huang, M.; Liu, F.; Li, S.; Tao, J.; Chen, L., 2015: Tai chi chuan for the primary prevention of stroke in middle-aged and elderly adults: a systematic review. Background. Stroke is a major healthcare problem with serious long-term disability and is one of the leading causes of death in the world. Prevention of stroke is considered an important strategy. Methods. Seven electronic databases were searched....

Cannon, W.B.; Newton, H.F.; Bright, E.M.; Menkin, V.; Moore, R.M., 1929: Some aspects of the physiology of animals surviving complete exclusion of sympathetic nerve impulses. Methods are described for removing both sympathetic chains from the superior cervical to the pelvic ganglia in parts or from the stellate to the pelvic ganglia intact. Animals thus bilaterally sympathectomized have lived in the laboratory in good...

Tarkowski, C.; Stefanowska, G.; Gruszecka, D., 1986: The effect of a rye form on crossability of hexaploid wheat and the extent of chromosome conjugation in hybrids F1. In several crosses, hybrid grain set depended on the rye pollinator. Pollinating wheat with Donar rye gave a higher percentage grain set than pollinating with Chodan rye. Inbred lines were the least efficient pollinators. In F1 wheat X rye hybrids...

Grassi, B.; Ferretti, G.; Costa, M.; Marconil, C.; Cerretelli, P., 1993: Chemoreflexogenic ventilatory drive in humans adapted to unusual environments. Advances in Experimental Medicine and Biology 337: 353-357

Hsieh, F.Y.; Lavori, P.W., 2000: Sample-size calculations for the cox proportional hazards regression model with nonbinary covariates. This paper derives a formula to calculate the number of deaths required for a proportional hazards regression model with a nonbinary covariate. The method does not require assumptions about the distributions of survival time and predictor variable...

Dittman, D.E.; Halfman, J.D.; Owens, R.W., 2003: Investigation of physical sedimentological factors and the distribution of the deepwater amphipod, Diporeia. IAGLR Conference Program & Abstracts 46: 252-253