Gasless Endoscopic Thyroidectomy Via an Axillary Approach: Experience of 30 Cases / 대한내분비외과학회지
Korean Journal of Endocrine Surgery
;
: 81-86, 2005.
Artigo
em Coreano
| WPRIM
| ID: wpr-76567
ABSTRACT
PURPOSE:
Surgery for thyroid disease requires a skin incision that can result in postsurgical problems such as prominent scars, adhesions, hypesthesia, and paresthesia in the neck. To overcome these problems, we performed a gasless endoscopic thyroidectomy via an axillary approach.METHODS:
Between May 2004 and April 2005, 30 female patients underwent gasless endoscopic thyroidectomy via an axillary approach. Surgical outcomes were evaluated in terms of operating time, length of hospital stay, and the incidence of perioperative complications. Patient opinion was assessed using a verbal response scale at two and four months after surgery.RESULTS:
The mean operating time was 126.8±32.4 minutes, and the mean length of hospital stay was 4.3±1.1 days. No cases required conversion to open surgery and none involved significant intraoperative complications. Three patients (10.0%) complained slight hypesthesia or paresthesia in the anterior chest wall, and only 2 patients (6.7%) complained the discomfort while they were swallowing for 4 months after surgery. All patients were satisfied with the cosmetic results.CONCLUSION:
Gasless endoscopic thyroidectomy via an axillary approach is feasible and safe and provides excellent cosmetic results with a minimal degree of postoperative complaints. This procedure provides another surgical option for the treatment of benign thyroid disease in selected patients.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Parestesia
/
Pele
/
Doenças da Glândula Tireoide
/
Tireoidectomia
/
Incidência
/
Cicatriz
/
Parede Torácica
/
Deglutição
/
Conversão para Cirurgia Aberta
/
Hipestesia
Tipo de estudo:
Estudo de incidência
/
Estudo prognóstico
Limite:
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Endocrine Surgery
Ano de publicação:
2005
Tipo de documento:
Artigo
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