Gasless Endoscopic Thyroidectomy Via Single Incision Axillary Approach

Korean Journal of Head & Neck Oncology 2012;28(2):114-117.
Published online November 30, 2012.

So young Kim;Yoonjong Ryu;Woo-Jin Jeong;Soon-Hyun Ahn

액와 단일절개 접근법을 이용한 내시경적 갑상선 절제술

김소영;유윤종;정우진;안순현

Abstract

Background and Objectives：To assure the surgical completeness of the gasless endoscopic thyroidectomy via single incision axillary approach using flexible videoscope which provide wide angle and working space, we compared single incision axillary approach and axillo-areolar approach by means of clinical, surgical outcomes. Materials and Methods：From March 2011 to July 2012, 24 patients who had underwent endoscopic thyroid-ectomy via transaxillary approach were enrolled. Of total, 17 patients underwent single incision axillary ap-proach(group I) and the other 7 underwent axillo-areolar approach(group II). Results：Patient demographics, surgical indications were similar between the two groups. The operating time(group I 144.6min, group II 153.6 min ; p=.29), blood loss(group I : 55.4cc, group II : 35.7cc : p=.64), hospital stay(group I : 4.2days, group II : 4.4 days ; p=.65) were similar in the two groups. Overall, two patients in group I(2/17, 11.8%) experienced post-operative complications, including one hematoma and one seroma. Due to narrow working space, one patient was change to axillo-areolar approach during single incision axillary approach with 30° rigid endoscope. Conclu-sion：Single incision axillary approach is safe and effective similar to other endoscopic thyroidectomy methods using flexible videoscope. Different with 30° rigid endoscope, 10-mm flexible videoscope can put inside the ax-illary inicision site in different axis with endoscopic instruments. This difference in endoscopic axis help to pre-vent crash with endoscopic instrument.

Key Words: Endoscopic, Thyroidectomy, Single incision axillary, Axillo-areolar, Gasless