Journal List > J Korean Surg Soc > v.79(5) > 1011181

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Kim, Kwak, Kim, Choi, Yun, Son, and Park: 10 Year-Experience of Endoscopic Thyroidectomy for Papillary Thyroid Microcarcinoma in Single Institution: Breast Approach and Gasless Transaxillary Approach
Original Article
Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2010; 79(5): 326-331.

Published online: 12 November 2010

DOI: https://doi.org/10.4174/jkss.2010.79.5.326

10 Year-Experience of Endoscopic Thyroidectomy for Papillary Thyroid Microcarcinoma in Single Institution: Breast Approach and Gasless Transaxillary Approach

Yeoung-Eun Kim, M.D., Ha-Na Kwak, M.D., Jun Ho Kim, M.D., Yoon Jung Choi, M.D.1, Ji-Sup Yun, M.D., Byung Ho Son, M.D., Yong-Lai Park, M.D.

Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

1Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

Corresponding author (yonglai.park@samsung.com)

Received 30 June 2010       Accepted 12 August 2010

Copyright © 2010 The Korean Surgical Society

Abstract

Purpose

Endoscopic thyroid surgery has been widely used because of the cosmetic advantage and the development of laparoscopic instruments. We have performed endoscopic thyroidectomy by breast approach and gasless transaxillary approach on papillary thyroid microcarcinomas. In this study, we describe these two types of endoscopic procedures with the technique of the method and surgical outcomes.

Methods

From Oct. 1999 to Oct. 2009, each procedure was performed in 162 patients divided into two groups. Breast approach group was in 91 patients and gasless transaxillary approach group was in 71 patients. We compared the results of mean ages, sex ratio, extent of operation, mean hospital stay, operating time, pathologic characteristics and postoperative complications between the breast approach group and gasless transaxillary approach group.

Results

Ninety-one cases treated using breast approach, and seventy-one cases treated using gasless transaxillary approach. The operation time was 197.4±60.7 minutes (95~350) in breast approach group, and 100.1±19.8 minutes (65~140) in gasless transaxillary approach group. Post operative complications are; 2 cases of transient hoarseness, 8 cases of hypocalcemia (including 2 cases of permanent hypocalcemia), 2 cases of chest wall discomfort in breast approach group, and 1 case of transient hoarseness, 2 cases of transient hypocalcemia, 1 case of postoperative bleeding in gasless axillary approach group.

Conclusion

Endoscopic thyroidectomy is a safe and technically feasible alternative to conventional thyroidectomy in patients with benign and highly selected malignant disease. We expect it can increase the extent of surgery.

Keywords: Endoscopic thyroidectomy, Papillary thyroid microcarcinoma, Breast approach, Gasless transaxillary approach

Figures and Tables

Table 1
Patient age distribution (range 24~71)
jkss-79-326-i001
Table 2
Comparison of results between breast approach group and gasless transaxillary approach group
jkss-79-326-i002

*LND = lymph node dissection.

Table 3
Comparison of complications between breast approach group and gasless transaxillary approach group
jkss-79-326-i003

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