Endoscopic Thyroidectomy by Axillary Approach : First Consecutive 6 Cases in Rajavithi Hospital

Authors

  • Suchart Chantawibul Department of Surgery, Rajavithi Hospital, Phayathai, Bangkok 10400, Thailand
  • Santi Lokechareonlarp Department of Surgery, Rajavithi Hospital, Phayathai, Bangkok 10400, Thailand
  • Vit Banjasirichai Department of Surgery, Rajavithi Hospital, Phayathai, Bangkok 10400, Thailand
  • Chairat Pokawatana Department of Surgery, Rajavithi Hospital, Phayathai, Bangkok 10400, Thailand

Abstract

Background: Transverse surgical scar after conventional thyroidectomy is one of the unavoidable problem. Endoscopic thyroidectomy performed via the axillary approach leaves no scaring of the neck and anterior chest wall thus provides an excellent cosmetic results. The axillary scars usually are not seen in normal arm position.

Methods: From 10th April 2001 - 31st May 2001, we performed 6 cases of lobectomy and isthmectomy by this technique. One 10-mm port for semi-rigid endoscope and three 5-mm ports for instruments and suction were inserted on the same side of diseased thyroid lobe. The CO2- insufflation pressure was set below 4-mmHg and dissection mainly using an ultrasonically activated shears.

Results: All 6 patients were success fully performed with no conversion to conventional technique. Mean operating time was 253 minutes and blood loss was 143 ml. Recurrent laryngeal nerves were clearly identified in every case and no voice changes after surgery was observed. One case developed a 20 ml seroma on 10th postoperative day and was treated by simple aspiration. The patients were discharged at 6.3 postoperative day by average.

Conclusion: Endoscopic thyroidectomy by axillary approach for benign thyroid diseases are feasible, safe with better cosmetic results.

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Published

2002-12-27

How to Cite

1.
Chantawibul S, Lokechareonlarp S, Banjasirichai V, Pokawatana C. Endoscopic Thyroidectomy by Axillary Approach : First Consecutive 6 Cases in Rajavithi Hospital. Thai J Surg [Internet]. 2002 Dec. 27 [cited 2024 Dec. 23];23(4):129-32. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/243042

Issue

Vol. 23 No. 4 (2002): October - December

Section

Original Articles

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Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.