Cited 75 times in
Endoscopic thyroidectomy via a unilateral axillo-breast approach without gas insufflation for unilateral benign thyroid lesions.
DC Field | Value | Language |
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dc.contributor.author | 최은창 | - |
dc.date.accessioned | 2015-04-24T17:06:13Z | - |
dc.date.available | 2015-04-24T17:06:13Z | - |
dc.date.issued | 2009 | - |
dc.identifier.issn | 0930-2794 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/104766 | - |
dc.description.abstract | BACKGROUND: The usefulness of various endoscopic thyroid surgery techniques has been reviewed. Recently, the authors developed a unilateral axillo-breast approach for endoscopic hemithyroidectomy to minimize the visible scar in a natural position and to overcome the limitation of instrumentation. The feasibility and safety of endoscopic thyroid surgery was examined via a novel approach without gas insufflation. METHODS: This study enrolled 52 consecutive patients undergoing endoscopic hemithyroidectomy via a unilateral axillo-breast approach without gas insufflation. A skin incision parallel to the skin crease was made in the axillary fossa for insertion of a 10-mm 30 degrees rigid endoscope and endoscopic instruments. To create a working space, an external retractor was inserted through the skin incision in the axilla and raised using a lifting device. A second 1.0-cm skin incision was made along the upper margin of the mammary areola on the tumor side for insertion of a 12-mm trocar. RESULTS: Postoperative pathology showed 11 follicular adenomas, 1 follicular carcinoma, and 40 benign thyroid lesions. The operating time for the first 10 hemithyroidectomies was 154 +/- 64.88 min, which was 34.77 min longer than for the last 42 hemithyroidectomies (119.23 +/- 31.47 min; p = 0.1314). The amount of postoperative drainage was 236.63 +/- 118.67 ml, and the duration of drainage was 4.54 +/- 1.42 days. The postoperative hospital stay was 6.37 +/- 2.83 days. Overall, seven patients (7/52, 13.5%) experienced perioperative complications, including one transient recurrent laryngeal nerve palsy (1.9%), five seromas (9.6%), and one hematoma (1.9%), which arose from a subplatysmal skin flap. CONCLUSION: Although the aspect of invasiveness could be improved, endoscopic hemithyroidectomy via a unilateral axillo-breast approach without gas insufflation is safe and effective and appears to provide better cosmetic results and a shorter operation time than other endoscopic methods for managing selective unilateral benign thyroid lesions. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 2053~2060 | - |
dc.relation.isPartOf | SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adenocarcinoma, Follicular/surgery | - |
dc.subject.MESH | Adenoma/surgery* | - |
dc.subject.MESH | Adolescent | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Axilla | - |
dc.subject.MESH | Breast | - |
dc.subject.MESH | Drainage | - |
dc.subject.MESH | Endoscopy/methods* | - |
dc.subject.MESH | Feasibility Studies | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Hematoma/etiology | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Length of Stay | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Postoperative Complications/etiology | - |
dc.subject.MESH | Seroma/etiology | - |
dc.subject.MESH | Thyroid Diseases/surgery* | - |
dc.subject.MESH | Thyroid Neoplasms/surgery* | - |
dc.subject.MESH | Thyroidectomy/methods* | - |
dc.subject.MESH | Vocal Cord Paralysis/etiology | - |
dc.subject.MESH | Young Adult | - |
dc.title | Endoscopic thyroidectomy via a unilateral axillo-breast approach without gas insufflation for unilateral benign thyroid lesions. | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Otorhinolaryngology (이비인후과학) | - |
dc.contributor.googleauthor | Y. W. Koh | - |
dc.contributor.googleauthor | J. W. Kim | - |
dc.contributor.googleauthor | S. W. Lee | - |
dc.contributor.googleauthor | E. C. Choi | - |
dc.identifier.doi | 10.1007/s00464-008-9963-3 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A04161 | - |
dc.relation.journalcode | J02703 | - |
dc.identifier.eissn | 1432-2218 | - |
dc.identifier.pmid | 18528625 | - |
dc.identifier.url | http://link.springer.com/article/10.1007%2Fs00464-008-9963-3 | - |
dc.subject.keyword | Cosmetic | - |
dc.subject.keyword | Endoscopic | - |
dc.subject.keyword | Gasless | - |
dc.subject.keyword | Perioperative complications | - |
dc.subject.keyword | Thyroidectomy | - |
dc.contributor.alternativeName | Choi, Eun Chang | - |
dc.contributor.affiliatedAuthor | Choi, Eun Chang | - |
dc.citation.volume | 23 | - |
dc.citation.number | 9 | - |
dc.citation.startPage | 2053 | - |
dc.citation.endPage | 2060 | - |
dc.identifier.bibliographicCitation | SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.23(9) : 2053-2060, 2009 | - |
dc.identifier.rimsid | 40193 | - |
dc.type.rims | ART | - |
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